Certified Medical Coder

This is a fully remote position, open to applicants in New York.

📋 Description

• The Coder is tasked with reviewing, interpreting, and assigning the correct CPT, ICD-10, and HCPCS codes, while ensuring compliance with federal regulations and payer policies.

• This role involves examining operative reports for all procedures conducted by Excelsior Orthopaedic Physicians for thoroughness and extracting and coding clinical data using standard classification systems.

• Embody our core values of being patient-centered, team-oriented, service-driven, accountable, and innovative on a daily basis.

• Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic services, encompassing office visits, imaging, physical therapy, and surgical interventions.

• Ensure that coding practices align with federal and state regulations, payer-specific requirements, and company policies.

• Engage with providers and clinical staff to guarantee precise documentation for accurate coding outcomes.

• Monitor coding edits, denials, and rejections; assist in appeals and corrections as necessary.

• Collaborate with the billing team to address coding and reimbursement challenges.

• Keep up-to-date with coding guidelines, orthopedic-specific regulations, and updates from payers.

• Accurately input and itemize charge data into the billing system, ensuring completeness and compliance with internal policies.

• Aid in verifying and applying the correct CPT, ICD-10, and HCPCS codes based on provider documentation; escalate complex coding matters to certified coders when required.

• Prepare, process, and submit insurance claims (both electronic and paper) in line with payer requirements and deadlines.

• Gather and confirm all necessary information to complete the billing process, including patient demographics, insurance coverage, and provider charge details.

• Adapt and evolve in your role while undertaking additional responsibilities as assigned.

⛳️ Requirements

• An associate's degree is preferred; a high school diploma or GED is required.

• A Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification is mandatory.

• A minimum of 1 year of proven experience as a Coder or in a similar capacity is required.

• Familiarity with electronic health records (EHR/EMR) and coding software is preferred.

• Knowledge of orthopedic, physical therapy, or podiatry medical terminology is advantageous.

• Ability to work both independently and collaboratively in a fast-paced, team-oriented setting.

• Proficient computer skills are required, with a minimum level of expertise in Microsoft Word, Excel, Outlook, and Teams.

🏝️ Benefits

• Company-issued laptop for efficient documentation.

• A collaborative work environment.

• Opportunity to work fully remotely after the training period.

• Chance to join an organization that values teamwork!

• Guaranteed 3% company contribution to your 401(k).

• Annual discretionary profit-sharing contribution (after 1 year of service and upon meeting eligibility requirements).