Certified Coder

Description

General Job Summary: 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:  

1. Establishes and maintains effective working relationships with coworkers, managers and providers. 

2. Collects, reviews, codes, and data entry of all charges for a multi-specialty practice. 

3. Responsible for quality control of all billable charges according to the coding compliance plan. 

4. Maintains current records of hospital admissions, surgeries, discharges, and consultations as necessary. 

5. Maintains required billing records, reports, files, etc. 

6. Responsible for educating providers regarding charges. 

7. Responsible for contributing to claims corrections and appeals. 

8. Provides accurate coding information to all pertinent departments. 

9. Maintains doctor’s standards according to coding compliance. 

10. Ensure certification is current. 

11. Ensure HIPAA compliance. 

12. Establish and maintain effective working relationships with patients, providers, and co-workers. 

13. 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 currents on all coding guidelines and updates. 
• Knowledge of billing practices and clinic policies and procedures. 
• Knowledge 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).  

The above is intended to describe the general content of and requirements for the performance of this position. It is not to be construed as an exhaustive statement of essential functions, performance requirements, physical requirements, duties, responsibilities or other position related requirements. In accordance with the Americans with Disabilities Act, it is possible that requirements may be modified to reasonably accommodate disabled individuals. However, no accommodations will be made which may pose serious health or safety risks to the employee or others or which impose undue hardships on the organization. Job descriptions are not intended as and do not create employment contracts. The organization maintains its status as an at-will employer. Employees can be terminated for any reason not prohibited by law.