Medical Coding Specialist

4 weeks ago


Peoria, Arizona, United States OrthoArizona Full time

About OrthoArizona:

We are a leading orthopedic and podiatry practice dedicated to delivering exceptional patient care. Our team is committed to staying at the forefront of medical coding and billing regulations.

Job Summary:

We are seeking a skilled Certified Medical Coder to join our team. As a Certified Medical Coder with OrthoArizona, you will be responsible for:

  • Reading and understanding operative and/or procedure notes
  • Applying CPT and ICD-10 codes to operative reports
  • Communicating with providers regarding complex or unusual cases
  • Responsible for coding all daily office visits
  • Understanding and following billing/coding compliance and regulations
  • Understanding insurance rules and regulations
  • Periodically auditing chart notes
  • Training physicians, mid-level providers, and therapists on documentation requirements
  • Appending modifiers as needed to claims
  • Verifying signed ABNs on file
  • Understanding patient confidentiality laws and regulations and ensuring all proper releases are on file
  • Clearly and accurately documenting all correspondence regarding an account
  • Responding promptly and appropriately to all email and telephone messages
  • Keeping coding lead/supervisor informed of all concerns related to patient accounts
  • Compliance with HIPAA, OSHA, red flag rules
  • Preparing, reviewing, and submitting clean claims to insurance companies within timely filing limits
  • All other duties as assigned

Qualifications:

We are looking for a candidate with:

  • Advanced understanding of anatomy, medical terminology, billing, and coding regulations
  • Excellent knowledge of health insurance plans and benefits
  • Excellent knowledge of payer rules and guidelines
  • Minimum qualifications: high school diploma or equivalent, advanced knowledge of CPT and ICD-10
  • Preferred qualifications: current CPC certificate, previous orthopedic coding experience, advanced understanding of anatomy, medical terminology, billing, and coding regulations

Benefits:

We offer a comprehensive benefits package, including:

  • Robust paid time off package
  • Health savings account + company contributions
  • Dental and vision insurance
  • Company-paid life insurance policy + option to purchase additional benefits
  • 401(k) with company contribution + profit sharing
  • Pet insurance
  • ID theft protection and legal assistance

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