Coder- Cardiology and Orthopedics

Coder Certification Required

The Coder provides coding services and support to assigned IPM Markets/Billing Entities, as required, utilizing clinical documentation in multiple electronic health record (EHR) systems. Applies working knowledge of medical terminology, anatomy, CPT-4 and ICD-10 codes and coding skills/ experience to ensure timely and accurate coding of clinical documentation. Meets or exceeds established performance targets (productivity and quality) established by the Coding Manager. Works closely with the Billing Department to ensure accuracy in charge posting to the Practice Management System (PMS). Effectively communicates with providers and market staff to ensure that clinical documentation is completed and signed to avoid coding delays and minimize lag days. Assists in educating providers on clinical documentation requirements to support their coding and ensure all coding (charge) possibilities are being captured. Timely notification to the appropriate CBO individuals to review coding for new procedures and initiate PMS set-up (to include fees). Demonstrates the ability to be an effective team.

High School Graduate/GED required. Technical School, 2 Years College, or Associates Degree preferred. Work experience: Experience (3-5 years minimum) working in a healthcare (professional) billing, health insurance, coding or equivalent operations work environment. Must have cardiology and orthopedics coding experience. PCP or primary care provider experience required. Internal medicine experience required. Denial management experience required AAPC CPC Certification required. Healthcare (professional) billing, CPT-4 and ICD-10 codes, government, managed care and third-party billing guidelines, AMA, AAP, CMS and coding policies. Understanding of the revenue cycle and how the various components work together preferred. Excellent organization skills, attention to detail, research and problem-solving ability. Results oriented with a proven track record of accomplishing tasks within a high-performing team environment. Service-oriented/customer-centric. Strong computer literacy skills including proficiency in Microsoft Office Billing software (e.g., Cerner, Epic, IDX) experience highly desirable