Orthopedic Surgery Certified Professional Coder (Remote)

Rothman Orthopaedics•Philadelphia, PA

1d•$21 - $31•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) denials. The role provides ongoing education to providers on coding and documentation, exercising discretion and independent judgment. This is a permanent, fully remote, full-time position with a Monday–Friday day schedule of 8:00 a.m. to 4:30 p.m. Eastern Time, totaling 40 hours per week. Candidates must reside in Colorado, Connecticut, Delaware, Florida, Georgia, Massachusetts, Maryland, North Carolina, New Jersey, Ohio, Pennsylvania, South Carolina, Texas, Virginia, or Wisconsin.

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 authorized for remote employment: CO, CT, DE, FL, GA, MA, MD, NC, NJ, OH, PA, SC, TX, VA, or WI.

Nice To Haves

Orthopedic surgical coding experience preferred.
Bachelor’s degree in nursing or another medical field preferred.

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.
Participate in and assist with external audits.
Create training for physicians and staff based on current coding standards and regulations.
Review and correct AR denials involving coding issues.
Provide monthly statistics on audits conducted, trainings provided, and retraining for providers who fail an audit.
Request and review confidential employee and physician information under state and federal Excluded Party and Sanctioned Individual regulations.
Request and review contractor and business associate information under state and federal Excluded Party and Sanctioned Individual regulations.
Create, track, maintain, and audit covering physician logs for applicable offices.
Exemplify the organization’s desired culture and philosophies.