Coder II

🔥 37 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 12%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Philadelphia Hand to Shoulder Center

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1973

🏥 Healthcare

👥 B2C

Healthcare • B2C

Philadelphia Hand to Shoulder Center is a regional orthopedic practice that specializes in the diagnosis, treatment, surgical care, and rehabilitation of conditions affecting the upper extremities — including the hand, wrist, arm, elbow, and shoulder. The center provides both non-surgical and minimally invasive surgical treatments, integrated in-house therapy (hand, physical, and occupational therapy), limb restoration services for nerve and traumatic injuries, EMG/NCS nerve studies, telemedicine appointments, and accepts major insurance plans. With 16 offices across Pennsylvania and New Jersey and hospital affiliations, the practice serves patients of all ages and is partnered with Premier Orthopaedics for joint physician leadership.

📋 Description

• Review medical records and assign accurate ICD-10 diagnosis and CPT procedure codes in compliance with applicable policies and regulations • Manage patient demographics, clinical documentation, and billing data across practice management systems and hospital records • Abstract data in compliance with national, regional, and local policies • Use the practice management system to account for demographics and services performed for scheduled and unscheduled surgical cases • Use hospital medical record systems and coordinate with physicians and staff to obtain clinical documents and demographics for coding and billing • Educate and support clinical areas on appropriate documentation and coding of services • Communicate with providers concerning coding issues • Promote compliance, coding accuracy, effective communication, accurate billing, and reimbursement

🎯 Requirements

• 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 • Experience preferably in a multi-specialty environment with experience in orthopedics, surgery, pain management, spine, or other complex procedural coding • Experience reviewing operative reports and clinical documentation • Experience assigning 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 • Effective written and verbal communication skills • 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 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 prioritization skills • Ability to maintain quality and timely turnaround

🏖️ Benefits

• 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 • Remote work arrangement

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