Certified Medical Coder

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🔥 7 minutes ago

🗽 New York – Remote

🗽 New York – Remote

💵 $21 - $35 / hour

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

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EXCELSIOR ORTHOPAEDICS

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2002

🏥 Healthcare

⚽ Sports

Healthcare • Sports

Excelsior Orthopaedics is a regional healthcare provider specializing in comprehensive orthopaedic care. They operate multiple clinics and an ambulatory surgery center across Western New York, offering services including orthopaedic urgent care, outpatient joint replacement, in-house physical and occupational therapy, advanced imaging, durable medical equipment, sports performance and athletic training, podiatry, spine and sports medicine, and outpatient surgery. The practice emphasizes streamlined, unified care with a multidisciplinary team of physicians, surgeons, physical therapists, athletic trainers, and support staff, serving patients through express care, scheduled appointments, and community athletic programs.

📋 Description

• The Coder is responsible for reviewing, interpreting, and assigning appropriate CPT, ICD-10, and HCPCS codes, and ensuring compliance with federal regulations and payer policies. • This position is responsible for reviewing operative reports for all procedures performed by Excelsior Orthopaedic Physicians for completeness and to abstract and code clinical data, using standard classification systems. • Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day. • Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic services, including office visits, imaging, physical therapy, and surgical procedures. • Ensuring coding practice meets federal and state guidelines, payer-specific requirements, and company policies. • Communicate with providers and clinical staff to ensure accurate documentation to produce accurate coding. • Monitor coding edits, denials, and rejections; assist in appeals and corrections as needed. • Collaborate with the billing team to resolve coding and reimbursement issues. • Stay current with coding guidelines, orthopedic-specific regulations, and payer updates. • Accurately enter and itemize charge data into the billing system, ensuring completeness and adherence to internal policies. • Assist with verifying and applying correct CPT, ICD-10, and HCPCS codes based on provider documentation; escalate complex coding issues to certified coders when needed. • Prepare, process, and transmit insurance claims (electronic and paper) in accordance with payer requirements and deadlines. • Collect and verify all the information necessary to complete the billing process, including patient demographics, insurance coverage, and provider charge details. • Evolve in your role when performing supplemental responsibilities as assigned.

🎯 Requirements

• Associates degree preferred; HS diploma or GED required. • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification is required. • Proven experience (1+ years) as a Coder or in a similar role required. • Demonstrated ability and understanding of an electronic health record (EHR/EMR) and coding software is preferred. • Knowledge of orthopedic, physical therapy, or podiatry medical terminology is desirable. • Ability to work independently and collaboratively in a fast-paced, team-oriented environment. • Computer skills required with minimum proficiency in Microsoft Word, Excel, Outlook, and Teams.

🏖️ Benefits

• Company-issued laptop for streamlined documentation • Collaborative environment • Opportunity to work fully remote after training • Opportunity to become a part of organization that is team-focused! • Guaranteed 3% company contribution to your 401(k) • Discretionary profit-sharing contribution annually (after 1 year of service and meeting eligibility requirements)