Remote CPC Certified Coder - Orthopaedic Coding & Audits

Rothman Orthopaedics; United States; Remote; USD 29,000 - 43,000; Full time

Job summary

Rothman Orthopaedics is seeking an experienced Business Office Certified Coder to review coding and documentation for all services provided by the practice through chart auditing and AR denials, while educating providers on coding standards.

This fully remote role requires CPC certification, five years of surgical coding experience (orthopaedic preferred), strong MS Office skills, and the ability to work independently from home.

Qualifications

• CPC certification required through the AAPC.
• Minimum five years of surgical coding experience, preferably orthopaedic.
• Knowledge of disease process, normal/abnormal findings, reasonable courses of treatment, quality assurance, and risk management issues required.
• Computer skills including, but not limited to, MS Office required.
• High School diploma or GED required; Bachelor's degree in nursing or other medical field preferred.

Responsibilities

• Audits physician and non-physician provider documentation for compliance with carrier and billing regulations.
• Tracks and maintains records of all audits, results of conducted audits, and education.
• Develops a pass/fail system and re-audit procedure based on audit results.
• Participates and assists actively with external audits.
• Creates trainings for physicians and staff based on current coding standards and regulations.
• Reviews and corrects AR Denials for coding issues
• Provides monthly statistics on audits conducted, trainings provided, and re-trainings for providers failing an audit
• Requests and reviews confidential employee and physician information as per state and federal Excluded Party and Sanctioned Individual regulations.
• Requests and reviews contractor and business associate information as per state and federal Excluded Party and Sanctioned Individual regulations.
• Creates, tracks, maintains, and audits covering physician logs for all applicable offices.
• Exemplifies the desired culture and philosophies of the organization.

Skills

CPC certification

Surgical coding experience

Orthopaedic coding knowledge

MS Office

Education

Bachelor's degree in nursing or other medical field preferred

Tools

MS Office

Job description

Rothman Orthopaedics is seeking an experienced Business Office Certified Coder to review coding and documentation for all services provided by the practice through chart auditing and AR denials, while educating providers on coding standards.

This fully remote role requires CPC certification, five years of surgical coding experience (orthopaedic preferred), strong MS Office skills, and the ability to work independently from home.