Remote - Pro Fee Coder - Ortho Surgery
Home Office: San Antonio, TX
Job Family:
General Coding
Travel Required:
Clearance Required:
What You Will Do:
The Ortho Surgery Pro Fee Coder must be proficient in surgical coding for Ortho surgery cases. E/M experience is also required. The coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager—the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines. This position is full time and 100% remote.
Responsibilities:
• Demonstrates the ability to perform quality surgical coding on Ortho surgery along with E/M as assigned.
• Maintains a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.
• Assures that all services documented in the patient’s chart are coded with appropriate ICD-10 and CPT codes. When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards.
• Achieves and maintains 95% accuracy in coding while maintaining a high level of productivity. Accuracy will be monitored during monthly reviews either within the facility.
• Works the review queue daily to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary.
• Charts that require re-bills are corrected and communicated to the facility daily for the re-bill process. See re-bill policy in facility guidelines.
• Responsible for working directly with the IQC staff to ensure quality standards are being met for each facility.
• Provides accurate answers to physician’s/hospitals coding and/or billing questions within eight hours of request.
• Coders must maintain their current professional credentials while working for Guidehouse.
• Coders are responsible for becoming familiar with the Guidehouse coding website and using the information contained in the website as a daily tool to correctly code and abstract for each facility.
• …
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100% remote None
Benefits/Perks100% Remote 401(k) Retirement Plan Basic Life & Supplemental Life Childcare Program Company paid holidays Corporate Sponsored Events & Community Outreach Dental Emergency Back-Up Childcare Program Employee Referral Program Flexible Spending Accounts Flexible work environment Fully remote Health savings account Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts Medical Medical, Rx, Dental & Vision Insurance Paid holidays Parental leave Personal and Family Sick Time Personal and Family Sick Time & Company Paid Holidays Rx Sick time Skills development Skills Development & Certifications Tuition reimbursement Tuition Reimbursement, Personal Development & Learning Opportunities Variable Incentive Bonus Vision Vision Insurance
Tasks- Communication
- Ensure coding accuracy
- Physician Coding
- Reporting
- Resolve coding denials
- Review clinical documentation
- Review clinical documentation and diagnostic results
- Training
Billing Clinical Documentation Coding Coding Guidelines Communication CPT CPT coding CPT/HCPCS Codes E/M Coding EMR Excel HCPCS HIPAA HIPAA Compliance ICD ICD-10 ICD-10-CM ICD-10 Diagnosis ICD-10 Diagnosis Codes Interpersonal Interpersonal Communication Organizational PowerPoint Productivity Quality Regulatory Compliance Surgical Coding Surgical Procedures Training Word
Experience5 years
Education CertificationsAAPC CPC CPC certification CPC certification from AAPC
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9