Certified Professional Coder - Surgical (In Office)

Nebraska Orthopaedic Center, PC; Lincoln (NE); Sur place; USD 55 000 - 75 000; Plein temps

Avantages offerts par ce poste

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

Résumé du poste

Nebraska Orthopaedic Center, PC is seeking a Surgical Coder in Lincoln, NE. The role requires CPC certification and at least one year of CPT and ICD-10 coding experience within a healthcare setting. You will work with operative reports, ensure accurate coding, and assist with denials and appeals.

The position includes collaborating with clinicians and billing staff, maintaining HIPAA safeguards, and supporting the prior authorization team and patient estimates as needed.

Qualifications

• High School Diploma or GED required.
• One year experience CPT and ICD-10 coding preferred.
• Certified Professional Coder (CPC) required.

Responsabilités

• Reviews operative reports and assigns accurate CPT, modifiers, and ICD-10 codes.
• Enters CPT, modifiers and ICD-10 codes for claim submission.
• Reviews denials and files appeals to obtain reimbursement.
• Tracks appeals and maintains coding change knowledge.
• Supports prior authorization with needed CPT codes.
• Assists patients with surgical estimates and inquiries.
• Maintains confidentiality per HIPAA and communicates clearly.
• Performs other duties as assigned.

Connaissances

CPC certification

CPT coding

ICD-10 coding

HIPAA knowledge

Communication

Attention to detail

Formation

High School Diploma or GED

CPC certification

Outils

Practice management software

Description du poste

Job Title: Surgical Coder

Job Type: Full Time

Typical Schedule: Monday-Friday 8:30-5pm

We always strive to make your experience at Nebraska Orthopaedic Center a friendly, comfortable, and positive one. We want you to feel you received the same high-quality care we would offer a member of your own family. At NOC, we strive to be your healing destination.

Essential Duties

• Reviews operative reports and assigns and sequences accurate CPT codes, modifiers, and ICD-10 codes to surgical procedures.
• Enters CPT, modifiers and ICD-10 codes into the practice management software for claim submission.
• Reviews and analyzes data when insurance denies payment of surgical procedures. Ensures proper codes were submitted and files appeal letter if needed in order to receive proper reimbursement.
• Responsible for tracking appeals.
• Maintains current knowledge of relevant coding changes as they become effective and assists in implementing them.
• Answers questions from patients, clinical and billing staff.
• Maintains patient confidentiality and follows HIPAA Guidelines.
• Assists prior authorization team with needed CPT codes for upcoming surgical cases to obtain authorization.
• Assists patients with Surgical estimates.
• Performs other duties as assigned.

Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Qualifications

• High School Diploma or GED.
• One year experience with CPT and ICD-10 coding in a healthcare organization preferred.
• Certified Professional Coder (CPC) required.

Skills and Abilities

• Knowledge of medical terminology, abbreviations, techniques and procedure; and anatomy and physiology.
• Knowledge and understanding of official coding rules established by the American Medical Association (AMA) and the Center for Medicare and Medicaid Services (CMS) for assignment of procedural codes.
• Knowledge and proficiency in both CPT and ICD-10 coding
• Knowledge of billing practices and clinic policies and procedures.
• Ability to effectively examine documents for accuracy and completeness.
• Ability to research and resolve a wide variety of problems.
• Ability to work independently and meet deadlines.
• Ability to communicate clearly both verbally and written with clinical and non-clinical staff as well as the public.

Our physicians have trained among some of the top medical experts and training facilities in the nation. We place a great deal of value on each and every opportunity we have to assist patients to regain the quality of life they deserve. Our commitment to the University of Nebraska Athletic Department (Husker Team Physicians), area high schools, and recreational athletes shows our motivation to minimize an athlete’s downtime so they can compete to the best of their ability. For more information go to: www.nebraskaortho.com

EOE

Schedules can vary depending on department needs.

Benefits

• 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