Orthopedic Surgery Certified Professional Coder (Remote)

Rothman Orthopaedics•Philadelphia, PA

9h•Remote

About The Position

The Business Office Certified Coder reviews coding and documentation for services provided by the practice through chart audits and accounts receivable (AR) denial review. The role provides ongoing coding and documentation education to providers and exercises discretion and independent judgment. This is a permanent, fully remote position. Candidates must reside in Colorado, Connecticut, Delaware, Florida, Georgia, Massachusetts, Maryland, North Carolina, New Jersey, Ohio, Pennsylvania, South Carolina, Texas, Virginia, or Wisconsin. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. Eastern Time, for 40 hours per week. The pay range is $26.00 to $38.00 per hour.

Requirements

CPC certification through the AAPC.
At least five years of surgical coding experience.
Knowledge of disease processes, normal and abnormal findings, reasonable courses of treatment, quality assurance, and risk management issues.
Computer skills, including Microsoft Office.
High school diploma or GED.
Must reside in one of the states approved for this remote position: CO, CT, DE, FL, GA, MA, MD, NC, NJ, OH, PA, SC, TX, VA, or WI.

Nice To Haves

Orthopedic coding experience.
Bachelor's degree in nursing or another medical field.

Responsibilities

Audit physician and non-physician provider documentation for compliance with carrier and billing regulations.
Track and maintain records of audits, audit results, and education provided.
Develop a pass/fail system and re-audit procedure based on audit results.
Actively participate in and assist with external audits.
Create training for physicians and staff based on current coding standards and regulations.
Review and correct accounts receivable denials involving coding issues.
Provide monthly statistics on audits conducted, training provided, and retraining for providers who fail an audit.
Request and review confidential employee and physician information in accordance with state and federal Excluded Party and Sanctioned Individual regulations.
Request and review contractor and business associate information in accordance with state and federal Excluded Party and Sanctioned Individual regulations.
Create, track, maintain, and audit covering physician logs for all applicable offices.
Exemplify the organization's desired culture and philosophies.