Job Posting Title Professional Ortho Surgical Medical Coder - Remote

Job Family:General CodingTravel Required:NoneClearance Required:NoneWhat You Will Do:The Ortho Surgery Pro Fee Coder must be proficient in surgical coding for orthopedic surgery cases. E/M experience is also required. The Coder will review clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10 diagnosis codes, along with CPT/HCPCS codes, as defined for the service type, for coding, billing, internal and external reporting, research, and regulatory compliance. Under the direction of the Coding Manager, the Coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules, CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The Coder’s scope may involve reviewing coding-related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines. This position is full-time and 100% remote. Responsibilities:Demonstrate the ability to perform quality surgical coding on orthopedic surgery cases, along with E/M, as assigned.Maintain a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.Ensure all services documented in the patient’s chart are coded with appropriate ICD-10 and CPT codes. When services/diagnoses are not documented appropriately, seek to attain proper documentation in a timely manner according to facility standards.Achieve and maintain 95% accuracy in coding while sustaining a high level of productivity. Accuracy will be monitored during monthly reviews within the facility.Review the coding queue daily to ensure all charts placed in the review queue are addressed, and any corrections are communicated to the facility if necessary.Correct and communicate charts requiring re-bills to the facility daily, per the re-bill policy outlined in facility guidelines.Report coder downtime immediately to administrative staff to ensure turnaround is met.Work directly with the IQC staff to ensure quality standards are met for each facility.Provide accurate responses to physicians’ or hospitals’ coding and/or billing questions within eight hours of request.Code or pend every chart placed in the queue within 24 hours.Notify administrative staff if unable to meet the 24-hour turnaround standard.Check the Guidehouse email system at least every two hours during coding sessions.Maintain current professional credentials while employed at Guidehouse.Become familiar with the Guidehouse coding website and utilize the resources provided as a daily reference tool for accurate coding and abstraction.Maintain HIPAA-compliant workstations (refer to HIPAA workstation policy).Review and adhere to the Coding Division policy and procedure manual.Collaborate effectively with other members of the facility’s coding and billing team to ensure maximum efficiency and reimbursement for properly documented services.Communicate problems or discrepancies in coding principles to the supervisor immediately.Ensure that all email communication remains professional (refer to email policy).What You Will Need:High school diploma3+ years of physician coding experience, including both IP and OP coding for physician claims2-3 years of experience coding orthopedic proceduresActive CPC certification from AAPCEMR experienceCredential maintenance throughout employmentAdvanced knowledge of Excel, Word, and PowerPointStrong working knowledge and experience with federal and state coding regulations and guidelinesWhat Would Be Nice to Have:COSC credential from AAPC3+ years of orthopedic spine surgical coding experienceAbility to work independently, multitask, and interface with all levels of personnel and clientsExcellent verbal, written, and interpersonal communication skillsThe annual salary range for this position is $49,000.00-$81,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.What We Offer:Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.Benefits include:Medical, Rx, Dental & Vision InsurancePersonal and Family Sick Time & Company Paid HolidaysPosition may be eligible for a discretionary variable incentive bonusParental Leave401(k) Retirement PlanBasic Life & Supplemental LifeHealth Savings Account, Dental/Vision & Dependent Care Flexible Spending AccountsShort-Term & Long-Term DisabilityTuition Reimbursement, Personal Development & Learning OpportunitiesSkills Development & CertificationsEmployee Referral ProgramCorporate Sponsored Events & Community OutreachEmergency Back-Up Childcare ProgramAbout GuidehouseGuidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [email protected]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [email protected]. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact [email protected]. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.Originally posted on Himalayas

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