Address
Form of workJob Description
Surgery Coder Responsibilities:
- Utilize technical coding principals and reimbursement rules to assign appropriate ICD-10 diagnosis and CPT procedures including understanding all elements in Ortho Surgery coding.
- Regularly communicates with the healthcare provider to ensure documentation and coding reflects care rendered.
- Supports healthcare provider education in areas of CMS regulations, coding, billing, documentation and administrative guidelines.
- Manages assigned provider workload
- Communicates trends in coding and documentation to manager for assigned providers
- Monitor documentation and coding practices to identify and follow up on potential coding related compliance issues and/or missed revenue potential.
- Maintain current knowledge base in all aspects of CPT, HCPCS, and ICD -10-CM coding.
- Keep abreast of all current billing and coding rules and regulations affecting government and non-government payers and distributes information to appropriate individuals as needed.
- Reviews and research coding/billing issues, including but not limited to, rejection reports and claim denials.
- Perform regular analysis of the impact of coding on reimbursement and identifies trends and opportunities for improvements.
- Adhere to compliance regulations while performing all duties detailed.
- Other duties as assigned.
Education: High school diploma or equivalent required. Credentialed as Certified Orthopedic Surgery Coder (COSC) or Certified Professional Coder (CPC) with minimum 2-year experience required. Skills assessment maybe required determining competency level of coding skills.
Experience: Two (2) years of coding experience required
Skills and Knowledge:
Skills and Knowledge:
- Demonstrates knowledge of HCPCS, ICD-10 and CPT coding guidelines, medical terminology, anatomy, and physiology.
- Ability to accurately code diagnosis, diagnostic and surgical procedures with a depth of knowledge in Orthopedic Surgery coding.
- Knowledge of legal, regulatory, and policy compliance issues related to medical coding and documentation
- Demonstrates effective verbal and written communication skills.
- Research skills including knowledge of automated analysis tools and on-line research tools to resolve complex coding issues.
- Demonstrates ability to effectively work within a team environment, using excellent written, verbal, and presentation skills to share findings and compliance issues with coders, office managers, physicians, etc.
- Maintains confidentiality and protects sensitive data.
