Remote Orthopedic Outpatient Coder

Description

Must have recent experience in Outpatient Ortho

The Coder III is responsible for coordinating, performing and completing Medicare compliancy. Coding consists of outpatient services in outpatient and inpatient services including procedures. To ensure coders provide technical aspects of the assignment diagnostic and carried out in accordance with established standards and in compliance NCQA and other regulatory agencies, and Tenet policy.

Responsibilities

Performs all assigned billing in a timely manner

Communicates with the physician the documentation needed to

complete job functions

Ensures accurate coding from the medical record regarding ICD-9 and

ICD-10, appropriate evaluation and management CPT code

Updates patient record with patient’s current insurance, address and

telephone numbers

Identifies primary care doctor and referral source with contact

information and documents it in the medical record

Performs claims follow up and reviews with billing agent in a timely

manner

Protects patient confidentiality according to HIPAA guidelines

Maintains proper credentials and researches coding issues to ensure

correct coding initiative per CMS guidelines

Identifies and attends one course/conference per specialty, per year to

continue education in the coding field

Qualifications

AA Degree required

Bachelors Degree preferred

5 years coding experience required

Healthcare background is required

CPT current competence with ICD- 10, ICD-9, CPT-4, and HCPCS required

Coding scheme and reimbursement practices required

RHIA, RHIT, CCS, CPC or COC certification is required

Office, and Excel required

Willingness to be flexible and adaptable in a complex, matrix environment

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