Position Summary
As a Coding Specialist at OAM, you will play a vital role in ensuring timely, accurate coding and documentation of medical procedures and diagnoses related to orthopaedics. Your expertise in CPT and ICD-10 coding systems will be instrumental in maintaining compliance, optimizing revenue cycles, and supporting efficient healthcare operations.
Responsibilities
- Assign CPT and ICD-10 codes to procedures based on provider documentation and bundling edits such as NCCI and/or AAOS Global Service Data.
- Code for fracture care and MRI.
- Verify appropriate insurance information and enter charges into the practice management system.
- Monitor scheduled and emergent surgeries based on office schedules and charge slips.
- Reconcile assigned systems to ensure all billable services are accounted for.
- Abstract and code emergency reports/documentation as assigned.
- Ensure accuracy of codes and entries by checking relevant dates and services/procedures performed.
- Verify receipt of necessary facility documents and chart notes in the EMR system.
- Communicate with providers regarding surgeries, rounds reports, and other procedural activities.
- Write appeal letters for denied claims.
- Review charts and provide documentation for requests from other departments.
- Assist with coding consults and charge entry as needed.
- Perform other duties as assigned.
Requirements & Qualifications
Required Qualifications
- 3+ years of orthopaedic surgical coding experience or a professional coding certification.
- Experience with general orthopedic coding, including sports medicine, arthroscopic, and total joint replacement coding.
- Experience working with multiple third-party payers, including commercial insurance, auto, and workers' compensation.
- High school diploma or GED.
Preferred Qualifications
- Graduate of a medical coding program.
- Experience working with NextGen.
Skills and Abilities
- Excellent verbal and written communication skills.
- Detailed knowledge of anatomy and medical terminology.
- Strong organization skills.
- Ability to multitask without compromising accuracy.
- Ability to maintain a professional demeanor and appearance.
- Microsoft Office and Windows-based applications knowledge.
Physical Requirements
- Ability to sit for long periods of time.
- Manual dexterity required to operate modern office equipment.
- Occasional bending, stooping, lifting up to 25 lbs, and reaching may be required.
- Normal or correctable range of hearing and eyesight.
Location
Michigan, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
2 months ago