Profee Multi-Specialty (Ortho) Coder
GeBBS Healthcare Solutions, Inc.•East Haven, CT
8m•Remote
About The Position
We are seeking highly experienced Orthopedic Medical Coders with current expertise in orthopedic coding to support a dynamic healthcare organization. This role requires coders who are actively coding orthopedics on a regular basis. The ideal candidate will be fully up to date on current orthopedic coding guidelines and comfortable providing coding feedback and education to orthopedic providers, particularly regarding bundling/unbundling rules, modifier usage, and coding compliance.
Requirements
- Minimum 5 years of active, ongoing orthopedic coding experience
- Current CPC (AAPC) or equivalent certification through AAPC or AHIMA
- Extensive experience coding orthopedic services in POS 11, 21, and 22
- Experience coding in-office procedures and orthopedic surgeries
- Strong knowledge of billing edits, clearinghouse edits, and payer denials
- Comfortable providing coding feedback and education to providers
- Spinal injections / pain management procedures
- Open fracture repair
- Hand surgery, fracture care, and tendon repairs
- Carpal tunnel release
- Hardware removal procedures
- Neuroplasty
- Arthroscopy (shoulder, knee, hip)
- Arthroplasty (shoulder, knee, hip)
- Joint repairs
Nice To Haves
- CEMC certification
- Experience with EPIC
- Experience with Medicaid of California guidelines
- Multi-specialty coding background
Responsibilities
- Charge Review Work Queues
- Review provider-submitted coding in EPIC against clinical documentation
- Resolve EPIC edits and recommend coding corrections to departments
- Claim Edit Work Queues
- Review provider-submitted coding and address clearinghouse rejections and claim edits
- Recommend appropriate coding corrections based on documentation
- Follow-Up Work Queues
- Review post-bill denials and payer edits
- Analyze documentation and recommend coding updates to resolve issues
- Reviewing documentation to ensure coding accuracy and compliance
- Working billing and coding edits, denials, and payer requirements
- Providing coding guidance and feedback to orthopedic providers and departments
Benefits
- Remote work opportunity
- Work with a collaborative and highly specialized team
- Full suite of benefits for full-time employees
- Free CEU opportunities
- All equipment supplied
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
