ORTHOPEDIC/SPINE SURGICAL CODER

Flagstaff Center of Bone and J•Flagstaff, AZ

10h•$53,000 - $65,000•Hybrid

About The Position

Responsible for coding, billing, denials, accounts receivable and payer policy updates. This role analyzes and interprets medical information in the medical record and assigns/sequences the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines. The coder will enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding. This position will interact with and provide support to the practice to answer questions and resolve claim denials. It requires a strong understanding of the encounter/billing process, and working knowledge of Medicare, Commercial, and all other insurance plans as well as their impact on reimbursement. The coder will utilize medical reference resources and contacts to thoroughly research coding issues and to maintain working knowledge of payment/reimbursement systems to ensure maximum reimbursement and coding compliance. This role also identifies opportunities for billing/coding improvements and participates in developing, implementing, and reviewing programs for coding compliance monitoring, criteria for benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs. The coder is expected to meet or exceed productivity and quality standards, take responsibility for various projects as assigned, and perform any additional/miscellaneous duties as requested. A key aspect of this role is to work as a team player and communicate in a positive manner with co-workers, managers, providers, and other contacts.

Requirements

Must have orthopedic/spine coding experience and the ability to review and natively code complex operative procedure reports.
Must have CPC certification and surgical billing experience as well as claims adjudication experience.
Must have experience with working with Commercial, Medicare, Medicaid, and secondary insurance plans.
Must be able to adequately communicate and coach providers on proper billing practices.
Must be familiar with current coding trends including ICD 10.
Skills in establishing and maintaining effective working relationships with patients, medical staff, and the public.
Work at an efficient and fast pace.
Must be self-motivated.
Must be highly organized and have excellent attention to detail.
Skills in exercising initiative, judgment, discretion, and decision-making to achieve organizational objectives.

Nice To Haves

Athena experience preferred

Responsibilities

Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines.
Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding.
Interact with and provide support to the practice to answer questions and resolve claim denials.
Employ strong understanding of the encounter/billing process, and working knowledge of a Medicare, Commercial, and all other insurance plans as well as, their impact on reimbursement.
Utilize medical reference resources and contacts to thoroughly research coding issues and to maintain working knowledge of payment/reimbursement systems to ensure maximum reimbursement and coding compliance.
Identify opportunities for billing/coding improvements.
Participate in developing, implementing, and reviewing programs for coding compliance monitoring, criteria for benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.
Meet or exceed productivity and quality standards as assigned by management.
Take responsibility for various projects as assigned by management and perform any additional/miscellaneous duties (not inclusive of job description) as requested by the management team within the scope of knowledge/ability.
Work as a team player and communicate in a positive manner with co-workers, managers, providers, and other contacts.

Benefits

Medical Insurance – Cigna Healthcare (must work 30 hrs / week or more)
Medical benefits begin the first of the month following 60 days
Health Savings Account (H.S.A.)
Voluntary Dental Insurance
Voluntary Vision Insurance
Telehealth medical care
Voluntary Life Insurance
$50,000 in employer-paid group life insurance at no cost to employees
Voluntary Short-Term Disability
401(k) and Roth 401(k) retirement plans, after one year of employment
Eight paid days off for holidays
Paid time off begins immediately
80 hours of PTO in your first year, with 120 hours provided to you on your anniversary date
$500 credit to be used at FBJ, if you or your family needs care with us