Remote Outpatient Coder, Ortho

Outpatient Ortho expeirence is required.

The Coder III is responsible for coordinating, performing and completing Medicare compliancy. Coding consists of outpatient services in outpatient and inpatient services including procedures. To ensure coders provide technical aspects of the assignment diagnostic and carried out in accordance with established standards and in compliance NCQA and other regulatory agencies, and Tenet policy.

Qualifications

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience required to perform

the job.

AA Degree required

Bachelors Degree preferred

5 years coding experience required

Healthcare background is required

CPT current competence with ICD- 10, ICD-9, CPT-4, and HCPCS required

Coding scheme and reimbursement practices required

RHIA, RHIT, CCS, CPC or COC certification is required

Office, and Excel required

Willingness to be flexible and adaptable in a complex, matrix environment

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Responsibilities

Include the following. Others may be assigned.

Performs all assigned billing in a timely manner

Communicates with the physician the documentation needed to complete job functions

Ensures accurate coding from the medical record regarding ICD-9 and ICD-10, appropriate evaluation and management CPT code

Updates patient record with patient?s current insurance, address and telephone numbers

Identifies primary care doctor and referral source with contact information and documents it in the medical record

Performs claims follow up and reviews with billing agent in a timely manner

Protects patient confidentiality according to HIPAA guidelines

Maintains proper credentials and researches coding issues to ensure correct coding initiative per CMS guidelines

Identifies and attends one course/conference per specialty, per year to continue education in the coding field

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