Certified Coder

Orthopaedic Care Data Entry and Coding Specialist

Contributes in the delivery of excellent orthopaedic care in a patient centered environment by completing data entry and coding for all premier orthopaedic care provided within the multi-specialty practice.

Essential Job Functions:

• Establishes and maintains effective working relationships with coworkers, managers and providers.
• Collects, reviews, codes, and data entry of all charges for a multi-specialty practice.
• Responsible for quality control of all billable charges according to the coding compliance plan.
• Maintains current records of hospital admissions, surgeries, discharges, and consultations as necessary.
• Maintains required billing records, reports, files, etc.
• Responsible for educating providers regarding charges.
• Responsible for contributing to claims corrections and appeals.
• Provides accurate coding information to all pertinent departments.
• Maintains doctor's standards according to coding compliance.
• Ensure certification is current.
• Ensure HIPAA compliance.
• Establish and maintain effective working relationships with patients, providers, and co-workers.
• Takes initiative in performing additional tasks that may be necessary or in the best interest of the practice.

Requirements:

Education/Experience:

• High school diploma.
• Associates degree in a related field is preferred.
• Coding certification (CPC-A or CPC) through AAPC or a (CCA or CCS) through AHIMA is required.

Other Requirements: Schedules will change as department needs change including overtime, evenings and weekends. Travel as needed.

Performance Requirements:

Knowledge:

• Knowledge of the Companies Mission, Vision and Values.
• Knowledge of coding and clinic rules, guidelines, compliance, and operating policies.
• Knowledge of anatomy and medical terminology.
• Knowledge of and stays current on all coding guidelines and updates.
• Knowledge of billing practices and clinic policies and procedures.
• Knowledge of electronic health records and practice management systems.
• Knowledge of HIPAA guidelines.

Skills:

• Excellent organizational, multi-tasking and adaptability skills.
• Detail oriented.
• Basic math skills.

Abilities:

• Ability to understand and interpret policies and procedures.
• Ability to read and interpret medical charts.
• Ability to examine documents for accuracy and completeness.
• Ability to maintain productivity set forth by leadership, while ensuring accuracy.
• Ability to communicate effectively and work with others.
• Ability to maintain a 93% accuracy rate.

Equipment Operated: Standard office equipment.

Work Environment: Office environment.

Required Mental/Physical Demands: Sitting about 90% in front of a computer screen. Fast paced high productivity environment. Must be able to remain focused and attentive without distractions (i.e. personal devices).