Senior Orthopedic Coding Specialist

2 weeks ago

Lakeville, Minnesota, United States Revo Health Full time
Job Title: Senior Orthopedic Coding Specialist

We are seeking a highly skilled Senior Orthopedic Coding Specialist to join our team at Revo Health. As a key member of our coding team, you will be responsible for ensuring consistent quality coding in evaluation management, office procedures, and surgical coding while adhering to applicable federal, state, local, and department requirements.

Key Responsibilities:
  • Assign appropriate ICD-10-CM codes, per provider documentation using the most current diagnosis set
  • Assign appropriate CPT and HCPCS codes, per provider documentation, for hospital and clinic procedures
  • Review operative reports to assign appropriate CPT surgical codes
  • Investigate discrepancies in documentation
  • Follow coding policies and guidelines to determine appropriate coding
  • Provide education and feedback to providers regarding documentation and billing processes
  • Manage and provide coding support for coding backlogs, staffing coverage, and taking ownership of workloads
  • Review denied claims to determine appropriate action for appeals
  • Respond to pre-certification requests and estimate requests
  • Monitor all "unkeyed" encounters to ensure that all billable services have been captured
  • Research technical questions and in coordination with Coding Manager, determine written policies
Requirements:
  • High School diploma/GED or equivalent
  • Coding Certification (CPC, CEMC, COSC) and/or minimum of (5) years' experience in related field preferred
  • Intermediate knowledge of ICD-10-CM, CPT, HCPCS and payer specific guidelines
  • Intermediate understanding of medical terminology, body system/anatomy, physiology and concepts of disease processes
What We Offer:
  • Comprehensive Medical, Dental & Vision Plan
  • Maternity Bundle
  • 401K with Profit Sharing
  • Tuition Reimbursement
  • Gym & Car Rental Discounts

We are an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.

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