Surgical/Procedural Coder - FT (In Office)

Nebraska Orthopaedic Center, PC; Lincoln (NE); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Dental insurance

Disability insurance

Employee assistance program

Flexible spending account

Free parking

Health insurance

License reimbursement

Life insurance

Paid time off

Tuition reimbursement

Vision insurance

Job summary

Nebraska Orthopaedic Center, PC is seeking a Surgical Coder in Lincoln, NE. The role involves reviewing operative reports and assigning CPT/ICD-10 codes, verifying modifiers, and entering data into the practice management system for claims.

The ideal candidate holds a CPC certification, has CPT/ICD-10 experience, and can ensure HIPAA compliance while supporting the prior authorization process and patient inquiries.

Qualifications

• CPC certification is required and CPT/ICD-10 coding experience is preferred.
• Reviews operative reports and assigns codes accurately for surgical procedures.
• Maintains HIPAA confidentiality and assists with prior authorizations.

Responsibilities

• Review operative reports and assign CPT, modifiers, and ICD-10 codes.
• Enter CPT codes and ICD-10 into practice management software for claims.
• Review denials and file appeals to obtain proper reimbursement.
• Track appeals and monitor coding changes.
• Assist prior authorization with CPT codes for upcoming surgeries.
• Answer questions from patients and staff; maintain confidentiality per HIPAA.

Skills

Surgical CPT coding

CPT & ICD-10 coding

HIPAA compliance

Data entry accuracy

Communication skills

Education

High School Diploma or GED

1 year CPT/ICD-10 coding experience

Certified Professional Coder (CPC)

Job description

Job Title

Surgical Coder

Job Type

Full Time

Schedule

Monday–Friday, 8:30 a.m. – 5:00 p.m.

Overview

We always strive to make your experience at Nebraska Orthopaedic Center a friendly, comfortable, and positive one. We want you to feel you received the same high-quality care we would offer a member of your own family. At NOC, we strive to be your healing destination.

Essential Duties

• Reviews operative reports and assigns and sequences accurate CPT codes, modifiers, and ICD-10 codes to surgical procedures.
• Enters CPT, modifiers and ICD-10 codes into the practice management software for claim submission.
• Reviews and analyzes data when insurance denies payment of surgical procedures. Ensures proper codes were submitted and files appeal letter if needed in order to receive proper reimbursement.
• Responsible for tracking appeals.
• Maintains current knowledge of relevant coding changes as they become effective and assists in implementing them.
• Answers questions from patients, clinical and billing staff.
• Maintains patient confidentiality and follows HIPAA Guidelines.
• Assists prior authorization team with needed CPT codes for upcoming surgical cases to obtain authorization.
• Assists patients with Surgical estimates.
• Performs other duties as assigned.

Qualifications

• High School Diploma or GED.
• One year experience with CPT and ICD-10 coding in a healthcare organization preferred.
• Certified Professional Coder (CPC) required.

Skills and Abilities

• Knowledge of medical terminology, abbreviations, techniques and procedures; and anatomy and physiology.
• Knowledge and understanding of official coding rules established by the American Medical Association (AMA) and the Center for Medicare and Medicaid Services (CMS) for assignment of procedural codes.
• Knowledge and proficiency in both CPT and ICD-10 coding.
• Knowledge of billing practices and clinic policies and procedures.
• Ability to effectively examine documents for accuracy and completeness.
• Ability to research and resolve a wide variety of problems.
• Ability to work independently and meet deadlines.
• Ability to communicate clearly both verbally and written with clinical and non-clinical staff as well as the public.

Schedules can vary depending on department needs.

EOE

Equal Opportunity Employer.

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Free parking
• Health insurance
• License reimbursement
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance