Coder II

🕒 Agosto 20

🔔 Pennsylvania – Remoto

🔔 Pennsylvania – Remote

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👻 Score fantasma 20%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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Premier Orthopaedics

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 2000

🏥 Saúde

👥 B2C

🧘 Bem-estar

Healthcare • B2C • Wellness

A Premier Orthopaedics é um grupo médico regional especializado em ortopedia, que oferece um espectro completo de cuidados com ossos, músculos e articulações em mais de 35 locais na região metropolitana da Filadélfia. A prática oferece cirurgia ortopédica, medicina esportiva, manejo de dor intervencional, fisioterapia, serviços de ressonância magnética e imagem, atendimento ortopédico express e recursos para pacientes, como agendamento online e conteúdo educativo para ajudar os pacientes a se recuperarem e retomarem suas atividades.

Descrição

• Accurately review medical records and assign ICD-10 and CPT codes in compliance with applicable policies and regulations • Manage patient demographics, clinical documentation, and billing data across practice management systems and hospital records • Ensure proper coding and reimbursement for scheduled and unscheduled surgical cases • Abstract data in compliance with national, regional, and local policies • Interpret and review medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes • Use the practice management system to account for demographics and services performed according to standard procedures and coding guidelines • Use individual hospital medical record systems and coordinate with physicians and staff to obtain clinical documents and demographics required for coding and billing • Provide education and support to clinical areas regarding appropriate documentation and coding of services • Maintain effective communication with providers concerning coding issues • Resolve coding edits or documentation discrepancies and escalate complex or uncertain cases • Collaborate with providers, Coding leadership, Authorization, Revenue Cycle, and other operational teams

🎯 Requisitos

• High school diploma/GED or equivalent working knowledge preferred • Accredited by the American Health Information Management Association (CCS-P) or the American Academy of Professional Coders (CPC) • 3-5 years of professional medical coding experience preferred, preferably in a multi-specialty environment • Experience in orthopedics, surgery, pain management, spine, or other complex procedural coding preferred • Experience reviewing operative reports and clinical documentation • Experience assigning accurate CPT, ICD-10-CM, HCPCS, and modifiers • Experience resolving coding edits or documentation discrepancies • Experience with coding audits, payer guidelines, NCCI edits, and physician queries strongly preferred • Current professional coding certification such as CPC, CCS, COC, or equivalent preferred/required based on organizational standards • Strong knowledge of CPT, ICD-10-CM, HCPCS Level II, modifiers, NCCI edits, global surgical guidelines, and payer-specific coding requirements • Proficiency interpreting complex operative reports and selecting codes based on documented procedures • Strong research, analytical, and problem-solving skills • Attention to detail and commitment to coding accuracy and compliance • Effective written and verbal communication skills • Ability to communicate coding concerns, request documentation clarification, and collaborate with providers and operational teams • Ability to work independently with limited supervision • Ability to manage a consistent coding workload while meeting productivity and accuracy expectations • Ability to escalate complex or uncertain cases appropriately • Ability to recognize documentation deficiencies and identify potential compliance concerns • Ability to research unfamiliar procedures and apply coding guidelines consistently • Ability to adapt to multiple specialties and changing payer requirements • Sound judgment, accountability, organization, critical thinking, and ability to prioritize competing demands • Equal Opportunity Employer

🏖️ Benefícios

• Comprehensive benefits package including medical, dental, and vision plans • 100% employer-paid life insurance • 401(k) with employer match • Benefits begin the first of the month following hire date (for full-time employees) • Generous paid sick and vacation time • 7 paid holidays annually • Opportunities for growth and advancement • Employee referral reward program