Surgical Coding Specialist

Nebraska Orthopaedic Center, PC; Lincoln (NE); On-site; USD 54,000 - 70,000; Full time

Job summary

Nebraska Orthopaedic Center in Lincoln, NE is hiring a full-time Medical Coder to accurately assign CPT, ICD-10 codes, and modifiers for surgical procedures.

The ideal candidate holds CPC certification, has at least one year of CPT/ICD-10 coding experience in healthcare, and can collaborate with billing staff and patients while upholding HIPAA guidelines.

Qualifications

• CPC certification is required for the role.
• Minimum one year of CPT/ICD-10 coding experience in healthcare.
• Strong knowledge of CPT and ICD-10 coding rules and billing practices.

Responsibilities

• Reviews operative reports and assigns CPT codes, modifiers, and ICD-10 codes to surgical procedures.
• Enters CPT, modifiers and ICD-10 codes into practice management software for claim submission.
• Reviews denied payments and files appeals to ensure proper reimbursement.
• Tracks appeals and stays current with coding changes.
• Assists with prior authorization coding and Surgical estimates as needed.
• Maintains confidentiality and HIPAA compliance.
• Communicates with patients, clinical and billing staff.

Skills

CPT coding

ICD-10 coding

Billing practices

Communication

Deadline oriented

Education

High School Diploma or GED

CPC certification

1 year CPT/ICD-10 coding experience

Job description

*Typical Schedule: Monday-Friday 8:30-5pm

Job Type: Full Time

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: (This list may not include all the duties assigned)

• 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.

Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.

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 procedure; 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.

Our physicians have trained among some of the top medical experts and training facilities in the nation. We place a great deal of value on each and every opportunity we have to assist patients to regain the quality of life they deserve. Our commitment to the University of Nebraska Athletic Department (Husker Team Physicians), area high schools, and recreational athletes shows our motivation to minimize an athlete's downtime so they can compete to the best of their ability. For more information go to: www.nebraskaortho.com

EOE

*Schedules can vary depending on department needs.