Professional Ortho Surgical Medical Coder - Remote

Guidehouse; Washington (District of Columbia); Remote; USD 49,000 - 81,000; Full time

Job summary

Guidehouse is seeking a Professional Ortho Surgical Medical Coder for a remote position to perform quality surgical coding on orthopedic surgeries. Successful candidates will possess coding expertise and maintain high accuracy while adhering to guidelines. This full-time role offers a competitive salary based on experience and relevant qualifications.

Benefits

Medical, Rx, Dental & Vision Insurance

401(k) Retirement Plan

Tuition Reimbursement

Short-Term & Long-Term Disability

Paid Holidays

Qualifications

• 3 years of physician coding experience required, including orthopedic procedures.
• Active CPC certification from AAPC is required.
• Familiarity with federal and state coding regulations.

Responsibilities

• Perform quality surgical coding on orthopedic surgery cases.
• Achieve and maintain 95% accuracy in coding.
• Review and adhere to coding policy and procedure manual.

Skills

Surgical coding

Knowledge of ICD-10

CPT coding

Documentation compliance

Attention to detail

Education

High school diploma

CPC certification

Tools

EMR software

Microsoft Excel

Microsoft Word

PowerPoint

Job description

Professional Ortho Surgical Medical Coder - Remote

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Professional Ortho Surgical Medical Coder - Remote

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Join to apply for the Professional Ortho Surgical Medical Coder - Remote role at Guidehouse

What You Will Do

The

This position is full-time and 100% remote.

• Demonstrate the ability to perform quality surgical coding on orthopedic surgery cases, along with E/M, as assigned.
• Maintain a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.
• Ensure all services documented in the patient’s chart are coded with appropriate ICD-10 and CPT codes. When services/diagnoses are not documented appropriately, seek to attain proper documentation in a timely manner according to facility standards.
• Achieve and maintain 95% accuracy in coding while sustaining a high level of productivity. Accuracy will be monitored during monthly reviews within the facility.
• Review the coding queue daily to ensure all charts placed in the review queue are addressed, and any corrections are communicated to the facility if necessary.
• Correct and communicate charts requiring re-bills to the facility daily, per the re-bill policy outlined in facility guidelines.
• Report coder downtime immediately to administrative staff to ensure turnaround is met.
• Work directly with the IQC staff to ensure quality standards are met for each facility.
• Provide accurate responses to physicians’ or hospitals’ coding and/or billing questions within eight hours of request.
• Code or pend every chart placed in the queue within 24 hours.
• Notify administrative staff if unable to meet the 24-hour turnaround standard.
• Check the Guidehouse email system at least every two hours during coding sessions.
• Maintain current professional credentials while employed at Guidehouse.
• Become familiar with the Guidehouse coding website and utilize the resources provided as a daily reference tool for accurate coding and abstraction.
• Maintain HIPAA-compliant workstations (refer to HIPAA workstation policy).
• Review and adhere to the Coding Division policy and procedure manual.
• Collaborate effectively with other members of the facility’s coding and billing team to ensure maximum efficiency and reimbursement for properly documented services.
• Communicate problems or discrepancies in coding principles to the supervisor immediately.
• Ensure that all email communication remains professional (refer to email policy).
  
  

Job Family

General Coding - GMS

Travel Required

None

Clearance Required

None

What You Will Do

The Ortho Surgery Pro Fee Coder must be proficient in surgical coding for orthopedic surgery cases. E/M experience is also required.The Coder will review clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10 diagnosis codes, along with CPT/HCPCS codes, as defined for the service type, for coding, billing, internal and external reporting, research, and regulatory compliance. Under the direction of the Coding Manager, the Coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules, CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The Coder’s scope may involve reviewing coding-related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines. This position is full-time and 100% remote.

Responsibilities

• Demonstrate the ability to perform quality surgical coding on orthopedic surgery cases, along with E/M, as assigned.
• Maintain a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.
• Ensure all services documented in the patient’s chart are coded with appropriate ICD-10 and CPT codes. When services/diagnoses are not documented appropriately, seek to attain proper documentation in a timely manner according to facility standards.
• Achieve and maintain 95% accuracy in coding while sustaining a high level of productivity. Accuracy will be monitored during monthly reviews within the facility.
• Review the coding queue daily to ensure all charts placed in the review queue are addressed, and any corrections are communicated to the facility if necessary.
• Correct and communicate charts requiring re-bills to the facility daily, per the re-bill policy outlined in facility guidelines.
• Report coder downtime immediately to administrative staff to ensure turnaround is met.
• Work directly with the IQC staff to ensure quality standards are met for each facility.
• Provide accurate responses to physicians’ or hospitals’ coding and/or billing questions within eight hours of request.
• Code or pend every chart placed in the queue within 24 hours.
• Notify administrative staff if unable to meet the 24-hour turnaround standard.
• Check the Guidehouse email system at least every two hours during coding sessions.
• Maintain current professional credentials while employed at Guidehouse.
• Become familiar with the Guidehouse coding website and utilize the resources provided as a daily reference tool for accurate coding and abstraction.
• Maintain HIPAA-compliant workstations (refer to HIPAA workstation policy).
• Review and adhere to the Coding Division policy and procedure manual.
• Collaborate effectively with other members of the facility’s coding and billing team to ensure maximum efficiency and reimbursement for properly documented services.
• Communicate problems or discrepancies in coding principles to the supervisor immediately.
• Ensure that all email communication remains professional (refer to email policy).
  
  

What You Will Need

• High school diploma
• 3 years of physician coding experience, including both IP and OP coding for physician claims
• 2-3 years of experience coding orthopedic procedures
• Active CPC certification from AAPC
• EMR experience
• Credential maintenance throughout employment
• Advanced knowledge of Excel, Word, and PowerPoint
• Strong working knowledge and experience with federal and state coding regulations and guidelines
  
  

What Would Be Nice To Have

• COSC credential from AAPC
• 3+ years of orthopedic spine surgical coding experience
• Ability to work independently, multitask, and interface with all levels of personnel and clients
• Excellent verbal, written, and interpersonal communication skills
  
  

The annual salary range for this position is $0.00-$0.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits Include

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program
  
  

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [e-mail]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [e-mail]. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact [e-mail]. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Business Consulting and Services

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