Coder II

🕒 il y a 21 jours

🔔 Pennsylvania – Distant

🔔 Pennsylvania – Remote

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👻 Score fantôme 12%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Premier Orthopaedics

Site WebLinkedInTous les Emplois

501 - 1000 employés

Fondée en 2000

🏥 Santé

👥 B2C

🧘 Bien-être

Healthcare • B2C • Wellness

Premier Orthopaedics est un groupe médical orthopédique régional offrant un spectre complet de soins des os, des muscles et des articulations à travers plus de 35 lieux dans la région du Grand Philadelphie. Le cabinet propose des chirurgies orthopédiques, de la médecine sportive, de la gestion de la douleur interventionnelle, de la physiothérapie, des services d'IRM et d'imagerie, des soins rapides en orthopédie et des ressources pour les patients telles que la prise de rendez-vous en ligne et des contenus éducatifs pour aider les patients à se rétablir et reprendre leurs activités.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

• 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