Medical Coder

Iowa Orthopedic Center; Des Moines (IA); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Paid Time Off

401(k) with company match

Profit-sharing

Employee discounts

Job summary

Iowa Orthopedic Center is seeking a Medical Coder to ensure optimum reimbursement by accurate reporting and posting of physician and ancillary services. The role requires living in Iowa and coding per AMA CPT guidelines, reviewing dictation, coding, posting charges, and resolving denials.

You will work with Pre-Coding, QA, and Back Office staff, handle NextGen, learn payer requirements, and participate in continuing education.

Qualifications

• Must possess CPT/HCPC/ICD-10-CM coding knowledge.
• Certified coding credentials (AAPC CPC-A/CPC or AHIMA CCS-P) prior to hire.
• Proficient in data entry and using standard office software.

Responsibilities

• Review physician dictation for office and hospital visits.
• Verify and ensure correct CPT/HCPC/ICD-10-CM codes for level of service.
• Post co-payments and post charges for all events in NextGen.

Skills

CPT/HCPC/ICD-10-CM coding knowledge

Coding certification alignment

Attention to detail

Education

AAPC CPC-A or CPC

AHIMA CCS-P

Tools

Microsoft Office Suite

Job description

The Medical Coder ensures optimum reimbursement for medical services through accurate and timely reporting and posting of all physician and ancillary services. Our team consists of individuals who enjoy being challenged, continuously learning, and creating a positive work experience!

To thrive in this role, applicants must live in Iowa .

Key Responsibilities:

• Review physician dictation for office and hospital visits
• Verify and maker sure that the appropriate CPT/HCPC/ICD-10-CM codes have been chosen to ensure visit meets criteria for the level chosen
• Post Co-Pay Payments when applied to encounters during coding
• Review, code, and post charge for all events in NextGen (including Hospital, ASC, Clinic, and Radiology)
• Review and Correct ALL Coding Denials as needed and assigned in WorkLog (including Assisting Billing with Appeals as needed)
• Locate corrections or additions needed in dictation, and send requests to physicians and Transcription Department for necessary changes and or addendum
• Answer questions on CPT/HCPC/ICD-10-CM codes needed by other departments
• Work in conjunction with Pre-Coding, QA, and Back Office Staff to support, clarify, and charge for the physician’s treatment of each patient encounter
• Follow through and complete missed charges on Unbilled Encounter Report (ie cast applications, DME’s, medications and injections, x-rays)
• Release claims after corrections are made or physician dictates as requested (i.e. x-rays, visits, medications, injections or casts)
• Know or learn to code per payer while remaining in AMA CPT guidelines
• Attend continuing education to keep current with coding changes and third party payer requirements
• Stay up to date on Coding/Payer Education via the Education Tracking Spreadsheet
• Work closely with the Billing and Coding Manager and Supervisors to interpret third party payer requirements
• Assist to implement procedures that ensure optimum reimbursement in compliance with regulations
• Develop and implement improvements as appropriate
• Provide excellent customer service to staff, leadership, providers and customers
• Assist in maintaining and monitoring department spreadsheets and WorkLog as assigned
• Unbilled Encounters
• WorkLog
• Support other departments company wide in correct understanding and usage of CPT/HCPC/ICD-10-CM codes.
• Assist in the Annual Provider Reviews for your assigned physicians
• Participate in quarterly Q&A sessions
• Assist with other duties as assigned
• Assist other departments in understanding and interpreting LCD policies published by CMS
• Assist Pre-Auth Department with CPT/HCPC/ICD-10-CM codes as needed

Requirements

• Medical coding certification from AAPC (CPC-A or CPC) or AHIMA (CCA, CCS-P) must be obtained prior to hire.
• Minimum 1 year of experience in the last 18 months in coding physician services and/or physical therapy (PT/OT) services preferred.
• Knowledge of Medicare provider requirements preferred
• Microsoft Office Knowledge including Outlook, Excel, Word, Power Point and OneNote.
• Basic computer skills; Microsoft Office Suite
• Ability to speak, read, write and listen to the English language without translation

At Iowa Ortho, we are guided by our IMPACT values, and we believe in fostering a culture that prioritizes both professional excellence and compassionate care:

• Innovation that Drives Positive Outcomes (I)
• Motivation for Exceptional Care (M)
• Passion for Quality in Everything We Do (P)
• Accountability Through Open and Honest Communication (A)
• Commitment to Continued Growth (C)
• Teamwork (T)
• Competitive Benefit Package:: Competitive pay, health, dental, paid time off, paid holidays, 401(k) with company match, profit-sharing, employee discounts and more.
• Center of Excellence: Physician-owned orthopedic clinic and surgery center dedicated to providing exceptional medical care to the people of central Iowa. Discover why Iowa Ortho is a recognized center of excellence in orthopedic care.
• Cutting-Edge Environment: Work in a state-of-the-art facility that embraces the latest advancements in medical technology.
• Team Atmosphere: Join a collaborative team that supports one another and is committed to enhancing patient care.
• Professional Growth: Opportunities for career advancement and continuous learning.

Join our team and be a part of our commitment to delivering gold-standard healthcare!

Please note our first point of contact may be by email. Please check your spam folder, as unknown senders sometimes wind up in spam or junk.

Iowa Ortho is a privately held medical practice. Candidates who receive a conditional offer of employment at Iowa Ortho will be required to complete a criminal background check, education verification, reference checks, and an initial TB test.

Iowa Ortho is committed to a diverse and inclusive workplace.

Iowa Ortho is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.