Lead Coder Reimbursement Orthopedic

Overview

"Must Have" Skills for This Job: 1. High School Diploma or Equivalent (GED) and (Completion of college level courses in medical terminology, anatomy and physiology) 2. Bachelor’s degree in related field preferred.*** 3. 5+ years coding experience required 4. Orthopedic coding experience required 5. REQUIRED CPC-Certified Professional Coder or and CCS-P Certified Coding Specialist -Physician - based 6. Experience working with application systems, Practice Management, Encoder Pro & Epic. 7. AND MUST HAVE ONE OF THE BELOW SPECIALTY CERTIFICATIONS (REQUIRED): CCVTC -Cardiovascular and Thoracic Surgery Coder CEMC -Certified Evaluation and Management Coder CGSC - General Surgery COSC - Orthopedic Surgery CCC - Cardiology Tell Me About this Job: Supports leadership in daily coding activities including productivity monitoring, coding/edit charge review, failed claims/followup resolutions, training, education, and research. Ensures all professional aspects of the assignment of diagnostic and procedure coding is carried out in compliance with applicable Medicare, Medicaid, and third party payer guidelines to ensure receipt of accurate reimbursement. Adheres to internal coding policies and expectations set forth my management and acts as a trainer, resource, and mentor for less experienced staff. Accurately abstracts information from the medical records assigns ICD-9/10-CM, CPT-4, and HCPCS level II codes in compliance with established guidelines. Provides codes to various departments upon request. Serves as a subject matter expert, providing direction to less experienced staff. May assist with training, auditing, and/or reviewing productivity and quality rates under the leadership of department management. Reviews supporting clinical documentation for hospital based services and procedures to ensure accurate code assignment in support of third party payer guidelines. Maintains documentation to record/track discrepancies. Compares hospital charges posted against procedures coded and identifies any discrepancies. Notifies leadership of any discrepancies and collaborated to rectify the same. Participates in special projects and completes other duties as assigned. WORKS SCHEDULE / HOURS: (THIS IS NOT A REMOTE POSITION) 40 hours weekly, Monday- Friday, 8:00 am to 5:00 pm

Benefits

Company

This health system is one of the largest faith-based, nonprofit health care delivery systems in the United States. It has 29 hospital locations including 19 acute-care hospital locations, five short-stay hospitals, two behavioral health hospitals, two rehabilitation hospitals and one transitional care hospital, all owned, operated, joint-ventured or affiliated with the system. It has more than 3,900 licensed beds, employs more than 24,000 people, and counts more than 6,000 physicians* with active staff privileges at its hospitals.