Coding Specialist II

2 days ago


Rosedale, Maryland, United States MEDSTAR HEALTH Full time
Job Title: Orthopedic Coding Specialist II

We are seeking a highly skilled Orthopedic Coding Specialist II to join our team at MedStar Health. This is a remote position that requires strong coding expertise and excellent communication skills.

Job Summary

The Orthopedic Coding Specialist II will be responsible for ensuring that MedStar Health's medical-professional services are coded correctly and completely, based on extensive knowledge of regulatory and specific payer requirements. This includes recommending policy and procedural changes to obtain optimum reimbursement for services rendered.

Key Responsibilities
  • Ensure accurate and complete coding of medical-professional services
  • Recommend policy and procedural changes to optimize reimbursement
  • Interact with physicians on coding issues
  • Ensure compliance with regulatory and payer requirements
  • Mentor and review work of Coding Edit Specialists and Coding Specialist I
Requirements
  • High School Diploma, GED or equivalent required
  • Bachelor's degree preferred
  • 3-4 years medical-professional coding experience with demonstrated ability to work independently
  • 1-2 years leading others or leading a work stream
  • CPC (Certified Professional Coder) certification required
  • COSC (Certified Orthopedic Surgical Coder) strongly preferred
Preferred Qualifications
  • Attention to detail and outstanding organizational skills
  • Ability to interact effectively with physicians, liaisons, department administrators, and associates
  • Ability to work independently and practice self-direction
  • Ability to communicate and deal with physicians in a professional, articulate manner and understand medical terminology specific to body systems
  • In-depth knowledge of billing process, including claims submission, payer requirements, and modifier usage
  • Broad, deep medical knowledge, including medical terminology, human anatomical systems, and medical procedures
  • Working knowledge of payer policies, HCFA policies, local and national regulatory and compliance policy, and coding resources
What We Offer

This position has a hiring range of $28.20 - $44.83. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.



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