Responsible for surgical coding and claim support in an orthopaedic practice.
- Reviews operative reports and assigns/sequences accurate CPT, modifier, and ICD-10 codes for surgical procedures.
- Enters CPT, modifier, and ICD-10 codes into practice management software for claim submission.
- Reviews denied claims related to surgical procedures and helps determine whether proper codes were submitted.
- Files appeal letters when needed to support proper reimbursement and tracks appeals.
- Keeps current on coding changes and assists with implementation of updates.
- Answers questions from patients, clinical staff, and billing staff.
- Maintains patient confidentiality and follows HIPAA guidelines.
- Assists the prior authorization team with CPT codes for upcoming surgical cases.
- Assists patients with surgical estimates.
- Performs other duties as assigned.
Requirements & Qualifications
- High school diploma or GED.
- Certified Professional Coder (CPC) required.
- One year of experience with CPT and ICD-10 coding in a healthcare organization preferred.
- Knowledge of medical terminology, abbreviations, anatomy, physiology, and surgical procedures.
- Understanding of AMA and CMS coding rules for procedural code assignment.
- Proficiency in CPT and ICD-10 coding.
- Knowledge of billing practices and clinic policies and procedures.
- Ability to review documents for accuracy and completeness.
- Ability to research and resolve a wide variety of problems.
- Ability to work independently and meet deadlines.
- Strong verbal and written communication skills with clinical, non-clinical, and public audiences.
Benefits & Perks
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Flexible spending account
- Free parking
- Health insurance
- License reimbursement
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Location
Lincoln, Nebraska, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 month ago
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