Certified Professional Coder

OrthoArizona; Chicago (IL); On-site; USD 55,000 - 65,000; Full time

Benefits offered by this job

PTO & holidays

Medical insurance options

Health Savings Account

Life insurance

401(k) with company contributions

Job summary

OrthoArizona is seeking a Certified Professional Coder to join our orthopedic-focused team. You will read operative notes, apply CPT and ICD-10 codes, and collaborate with providers on complex cases to ensure accurate, compliant claims.

The role involves coding daily visits, auditing documentation, and training clinicians on documentation requirements while upholding HIPAA and government regulations. Our benefits package supports work-life balance and professional growth.

Qualifications

• Advanced understanding of anatomy, medical terminology, billing and coding regulations.
• Excellent knowledge of health insurance plans and benefits.
• Advanced knowledge of CPT and ICD-10.
• High school diploma or equivalent.

Responsibilities

• Read and understand Operative and/or Procedure notes.
• Apply CPT and ICD-10 codes to Operative reports.
• Communicate with providers regarding complex/unusual cases.
• Code all daily office visits and ensure accuracy.
• Review and understand billing/coding regulations and compliance.
• Audit charts periodically and train staff on documentation requirements.
• Append modifiers as needed to claims and verify ABNs.
• Maintain patient confidentiality and respond to messages promptly.

Skills

Anatomy knowledge

Medical terminology

CPT coding

ICD-10 coding

HIPAA compliance

Education

CPC Certificate

High school diploma

Job description

At OrthoArizona, we are bringing the best together. Our organization was created to help serve ALL orthopedic and sports medicine needs throughout the Valley! We have a wide range of orthopedic surgeons and mid-level providers including physical and occupational therapists.

Today we are one of Arizona's largest privately owned and most comprehensive orthopedic practices with more than 80 locally and nationally renowned providers across 30 locations, in addition to in house state of the art MRI capabilities. At OrthoArizona we are committed to best-in-class patient care, being a pioneer in research and technology, and most importantly, rewarding and recognizing our team members.

As a Certified Professional Coder with OrthoArizona, you will get to:

• Read and understand Operative and/or Procedure notes.
• Apply CPT and ICD-10 codes to Operative reports.
• Communicate with providers regarding complex/unusual cases.
• Responsible for coding all daily office visits.
• Understand and follow billing/coding compliance and regulations.
• Understand concepts of unbundling and heeds government regulations.
• Understand insurance rules and regulations.
• Periodically audit chart notes.
• Training of Physicians, Mid-level providers, and Therapists on documentation requirements.
• Append modifiers as needed to claim.
• Verify signed ABNs on file.
• Understand patient confidentiality laws and regulations and ensure all proper releases are on file.
• Clearly and accurately documents all correspondence regarding an account.
• Respond promptly and appropriately to all email and telephone messages.
• Keep coding Lead/Supervisor informed of all concerns related to patient accounts.
• Compliance with HIPAA, OSHA, red flag rules.
• Prepare, review, and submit clean claims to insurance companies within timely filing limits.
• All other duties as assigned.

Qualifications:

• Advanced understanding of anatomy, medical terminology, billing and coding regulations.
• Excellent knowledge of health insurance plans and benefits.
• Excellent knowledge of payer rules and guidelines.
• High school diploma or equivalent.
• Advanced knowledge of CPT and ICD-10.

Preferred Qualifications:

• Current CPC Certificate.
• Previous Orthopedic Coding experience.
• Advanced understanding of anatomy, medical terminology, billing and coding regulations.

Full Time Benefits

• Robust paid time off package including, sick time, holidays, & paid time off!
• Medical with multiple different plan options.
• Health Savings account + company contributions.
• Company paid life insurance policy + the option to purchase additional benefits to protect you from what life throws at you.
• 401(k) with a company contribution + profit sharing!