CPC - Orthopedics outpatient coder - Full Time - Days - 8hr

Emanate Health; Covina (CA); On-site; USD 44,083 - 67,323; Full time

Job summary

Emanate Health in Covina, CA is seeking a Certified Coder Professional to review and evaluate clinical documentation in medical records, ensuring accurate coding and compliant reimbursement. You will train clinicians and provide feedback to improve documentation quality.

As the coding SME, you will collaborate with our Compliance team and with third-party billing, support Medicare/Medicaid guidelines, and help the Emanate Health Medical Group achieve appropriate payments across Family Care and

Qualifications

• Associate degree preferred; college degree preferred.
• Knowledge of Medical Terminology, Anatomy & Physiology.
• Computer experience.
• Minimum 2+ years of relevant professional coding experience in a health care clinic setting.
• Experience with ICD-10, CPT, HCPCS and coding modifiers.

Responsibilities

• Review and evaluate clinical documentation to ensure accurate coding and compliant reimbursement.
• Provide training and feedback to clinicians on documentation and coding.
• Collaborate with Compliance and third-party billing to meet Medicare/Medicaid requirements.
• Serve as coding SME for physicians and staff.

Skills

ICD-10 coding

CPT coding

Data quality

Microsoft Office Suite

Training sessions

Education

Associate degree preferred

College degree preferred

Tools

Microsoft Office Suite

E&M coding

HCPCS

Job description

Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals.

On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country.

Delivering world-class health care one patient at a time.

Job Summary

Reporting to the Manager Physician Coding Services, the Certified Coder Professional will be responsible for reviewing and evaluating clinical documentation within medical records to ensure high quality and compliant coding. The Certified Coder Professional will provide training, consultation, and feedback to clinicians on their documentation and coding to ensure Emanate Health Medical Group receives appropriate reimbursement and conforms to applicable guidelines and regulations. Collaborates with Emanate Health’s Compliance team and with all third party billing and reimbursement requirements including, but not limited to, the requirements of Medicare and Medicaid programs. Serves as the coding subject matter expert for the physicians.

Job Requirements

Minimum Education Requirement: Associate degree preferred; college degree preferred, knowledge of Medical Terminology, Anatomy & Physiology and Computer experience.

Minimum Experience Requirement: Minimum of 2+ years of relevant professional coding experience in a health care clinic setting. Preferred 3+ years of coding experience in a healthcare clinic setting, specifically in Family Care and/or Pediatric clinic visits, injections, vaccines, well visits or annual preventive health exams, clinic-based procedures.

Strong knowledge of and experience with ICD-10 and CPT coding and thorough understanding of the effect of data quality on potential payment, utilization and reimbursement for multiple medical professional service specialties required. Understanding of ICD-10, CPT codes (including E&M leveling), HCPCS, modifiers, medical terminology and anatomy & physiology. Thorough understanding of data systems and reporting for health record coding, abstracting, and performance metrics required. Knowledge of and experience with Microsoft Office Suite required. Experience conducting training/educational sessions for professional staff including preparations of instructional materials preferred; experience with evaluating physician documentation, coding audits and quality performance preferred. The interpersonal skills necessary to interact effectively with physicians and physician office staff. The written and verbal skills necessary to develop training materials and provide training and feedback to physicians and staff. The ability to interpret documents such as encounter forms, medical records, physician documentation, lab reports, dictated reports, operating instructions and policy/procedure manuals. The ability to apply common sense understanding to carry out instructions furnished in written or oral form. The analytical skills necessary to solve practical problems involving several concrete variables in standardized situations and summarize findings. The ability to work a varied schedule including early or late hours as required along with site travel within the system. Experience with E&M and surgical coding required.

Minimum License Requirement: Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) license required. Certified Family Practice Coder (CFPC), Certified Pediatric Coder (CPEDC), and/or Certified Hematology & Oncology Coder (CHONC) preferred.

Pay Range

$32.00 - $48.87

Our Mission

Emanate Health exists to help people keep well in body, mind and spirit by providing quality health care services in a safe, compassionate environment.

Our Vision

We are an integral partner in elevating our communities' health.

Our Values

Patients and their families are the reason we are here. We want them to experience excellence in all we do through the quality of our services, our teamwork, and our commitment to a caring, safe and compassionate environment.

Respect. We affirm the rights, dignity, individuality and worth of each person we serve and of each other.

Excellence. We maintain an unrelenting drive for excellence, quality and safety, and strive to continually improve all that we do.

Compassion. We care for each person and each team member as part of our family.

Integrity. We believe in fairness and honesty and are guided by our code of ethics.

Stewardship. We wisely care for the human, physical and financial resources entrusted to us.

About Us

We are more than just a health system. At Emanate Health, we are a catalyst for change and a beacon for healthier lives. When you come to any one of our locations, you'll be treated like family. And as part of our family, you can rest easy knowing we'll do whatever it takes to benefit your health and wellness.