Remote Pro Fee Coder- Ortho Surgery - Home Office: Washington, DC
Job Family:
General Coding
Travel Required:
Clearance Required:
What You Will Do:
The Remote Pro Fee Coder- Ortho Surgery 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. A $5,000 Sign-On Bonus will be included.
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.
Works well with other members of the facilities coding and billing team to insure maximum efficiency and reimbursement for properly documented services.
What You Will Need:
Requires a high school diploma
Minimum 3-5 years prior physician coding experience, both IP and OP coding for physician claims.
2-3 years prior coding of ortho procedures, preferably including ortho spine surgical coding
CPC certification from AAPC
EMR experience
Must maintain credential throughout employment
Must be able to work independently, multi-task well and interface with all levels of personnel as well as clients
Strong Working Knowledge & experience with Federal & State Coding regulations and Guidelines
What Would Be Nice To Have:
COSC credential from AAPC
Prior ortho spine surgical coding experience
E/M experience along with surgical coding experience (Office, OP and OR procedures
Multiple EMR and/or practice management systems experience
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The annual salary range for this position is $43,400.00-$65,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
Job Profile
Regions Countries Benefits/Perks$5,000 Sign-On Bonus 401(k) Retirement Plan Childcare Program Company paid holidays Corporate Sponsored Events & Community Outreach Dental Emergency Back-Up Childcare Program Employee Referral Program Flexible Spending Accounts Health savings account Medical Medical, Rx, Dental & Vision Insurance Paid holidays Parental leave Personal and Family Sick Time Personal and Family Sick Time & Company Paid Holidays Rx Tuition reimbursement Variable Incentive Bonus Vision
SkillsCPT coding E/M Coding HCPCS Coding ICD-10 ICD-10-CM Organizational Quality Surgical coding
Tasks- Collaborate with coding and billing team
- Ensure accurate coding of services
- Extract data
- Maintain knowledge of coding principles and regulations
- Perform surgical coding
- Provide answers to coding and billing questions
- Review clinical documentation
- Work on review queue daily
3 - 5 years
Education CertificationsCPC CPC certification from AAPC
RestrictionsNone
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