Coder

Orthopaedic Management Services; United States; Remote; USD 55,000 - 75,000; Full time

Job summary

OrthoNebraska seeks a Clinic Medical Coder to translate chart documentation into standardized codes for the professional component. The role requires meticulous attention, familiarity with coding guidelines, and AHIMA/AAPC certification.

Experience in orthopedic coding and proficiency with Cerner EMR are highly valued. The position emphasizes accuracy, confidentiality, and collaboration with healthcare professionals to ensure compliant documentation and timely coding.

Qualifications

• High School Diploma or GED required.
• Current/active Coding certification through AHIMA or AAPC required.
• 1+ year experience actively coding, including E/M levels required; Orthopedic setting preferred.
• Proficiency in electronic health record, Cerner preferred.
• Familiarity with medical terms, coding systems, and classification standards.
• Strong verbal and written communication skills for interaction with healthcare professionals.
• Efficiently manage multiple tasks and meet deadlines.
• Uphold confidentiality and ethical standards in handling patient information.

Responsibilities

• Analyze medical record documentation and accurately code and sequence diagnoses and procedures.
• Input codes and required medical record data items.
• Complete coding and health information management compliance audits and related projects.
• Provide customer service and public relations as needed.
• Participate in coding and documentation performance improvement activities.
• Comply with safety policies and regulatory requirements such as OSHA and JCAHO.
• Handle additional duties as assigned for which competency has been demonstrated.

Skills

Cerner proficiency

Medical terminology

Coding guidelines

Verbal & written communication

Multitasking/ time management

Confidentiality/ethics

Education

High School Diploma or GED

Tools

Cerner EMR

Job description

OrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes. With a focus on safety and people, we set the bar high in providing high-quality care with an unmatched experience. Our team members are critical to our success and growth and are rewarded for their dedication and hard work.

Position Summary

The Medical Coder Clinic Medical Coder meticulously analyses patient chart documentation and translates the extracted information into standardized medical codes for the professional component. This role needs to be detailed oriented and knowledgeable of coding guidelines.

Education

High School Diploma or GED required.

License/Certification

Current/active Coding certification through AHIMA or AAPC required.

Experience

1+ year experience actively coding, including E/M levels required. Experience in Orthopedic setting preferred.

Knowledge/Skills/Abilities

Proficiency in electronic health record, specifically Cerner, is preferred. Familiarity with medical terms, coding systems, and classification standards. Strong verbal and written communication skills for effective interaction with healthcare professionals and staff. Efficiently manage multiple tasks and prioritize responsibilities to meet deadlines. Uphold strict confidentiality and ethical standards in handling patient information.

Essential Job Functions

Analyze medical record documentation and accurately code and sequence diagnoses and procedures. Input codes and required medical record data items Complete coding and health information management compliance audits and other projects as assigned by the Coding and Compliance Coordinator/Health Information Manager Customer service and public relations. Participate in coding and documentation performance Improvement activities Is expected to comply with safety policies and procedures, regulatory requirements such as OSHA and JCAHO and to participate in corporate-wide and department safety activities Employee is responsible for all other duties as assigned for which competency has been demonstrated.

Physical Requirements

This position is classified as Sedentary Work in the Dictionary of Occupational Titles, requiring the exertion of up to 10 pounds of force occasionally) up to (33% of the time) and/or a negligible amount of force frequently (33%-66% of the time) to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Must be able to pass background check. We also conduct pre-employment physical and drug testing. Any job offer will be contingent upon successful completion of a pre-employment physical with a drug screen, background check and obtaining active licensures per job requirements.

OrthoNebraska creates the inspired healthcare experience all people deserve by giving a direct path to personalized care and life-enhancing outcomes. Routinely recognized as one of Omaha's top employers, OrthoNebraska is all about people. Our approach is grounded in collaboration. This means the physician, care team, support staff, patient, and caregivers work together to get patients back to what they love. Join the OrthoNebraska team, and work in a place where your ideas are celebrated and you have room to make your career journey your own.