Coder II

🕒 vor 16 Tagen

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👻 Geisterscore 12%

Was es bedeutet: wie wahrscheinlich diese Stelle offen bleibt, ohne dass aktiv eingestellt wird.So liest du es: 60 % oder höher heißt, wir halten das für einen Geisterjob. Niedrigere Werte sind weniger bedenklich.Wie wir werten: Dauer offen, Neuveröffentlichungen, offene Stellen vs Teamgröße, wie schnell Stellen geschlossen werden, und ob ein Gehalt angegeben ist.Hinweis: eine Schätzung aus öffentlichen Daten, kein Urteil über das Unternehmen. Echte Stellen können hoch punkten, nutze es also als Hinweis, nicht als Fakt.

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Premier Orthopaedics

WebsiteLinkedInAlle Stellen

501 - 1000 Mitarbeiter

Gegründet 2000

🏥 Gesundheitswesen

👥 B2C

🧘 Wellness

Healthcare • B2C • Wellness

Premier Orthopaedics ist eine regionale orthopädische medizinische Gruppe, die ein vollständiges Spektrum an Versorgung für Knochen, Muskeln und Gelenke an mehr als 35 Standorten in der Region Greater Philadelphia bietet. Die Praxis bietet orthopädische Chirurgie, Sportmedizin, interventionelle Schmerztherapie, Physiotherapie, MRT- und Bildgebungsdienste, Express-Orthopädieversorgung und Patientenressourcen wie Online-Terminvereinbarungen und Bildungsinhalte, um Patienten bei der Genesung und Rückkehr zur Aktivität zu unterstützen.

Beschreibung

• 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

🎯 Anforderungen

• 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

🏖️ Vorteile

• 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