Surgical Coder

Nebraska Orthopaedic Center•Lincoln, NE

About The Position

We always strive to make your experience at Nebraska Orthopaedic Center a friendly, comfortable, and positive one. We want you to feel you received the same high-quality care we would offer a member of your own family. At NOC, we strive to be your healing destination.

Requirements

High School Diploma or GED.
One year experience with CPT and ICD-10 coding in a healthcare organization preferred.
Certified Professional Coder (CPC) required.
Knowledge of medical terminology, abbreviations, techniques and procedure; and anatomy and physiology.
Knowledge and understanding of official coding rules established by the American Medical Association (AMA) and the Center for Medicare and Medicaid Services (CMS) for assignment of procedural codes.
Knowledge and proficiency in both CPT and ICD-10 coding
Knowledge of billing practices and clinic policies and procedures.
Ability to effectively examine documents for accuracy and completeness.
Ability to research and resolve a wide variety of problems.
Ability to work independently and meet deadlines.
Ability to communicate clearly both verbally and written with clinical and non-clinical staff as well as the public.

Nice To Haves

One year experience with CPT and ICD-10 coding in a healthcare organization preferred.

Responsibilities

Reviews operative reports and assigns and sequences accurate CPT codes, modifiers, and ICD-10 codes to surgical procedures.
Enters CPT, modifiers and ICD-10 codes into the practice management software for claim submission.
Reviews and analyzes data when insurance denies payment of surgical procedures.
Ensures proper codes were submitted and files appeal letter if needed in order to receive proper reimbursement.
Responsible for tracking appeals.
Maintains current knowledge of relevant coding changes as they become effective and assists in implementing them.
Answers questions from patients, clinical and billing staff.
Maintains patient confidentiality and follows HIPAA Guidelines.
Assists prior authorization team with needed CPT codes for upcoming surgical cases to obtain authorization.
Assists patients with Surgical estimates.
Performs other duties as assigned.