Surgery Coder

Duties:

• Reviewing electronic medical record and operative reports to identify all services and procedures performed by the physician during surgical cases.
• Is knowledgeable of and able to apply AMA guidelines to ensure the correct coding of surgical procedures.
• Researches and analyzes data needs for reimbursement.
• Analyzes medical records and identifies documentation deficiencies.
• Serves as resource and subject matter expert to other coding staff.
• Reviews and verifies documentation supports diagnoses, procedures, and treatment results.
• Identifies diagnostic and procedural information.
• Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
• Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.
• Follows coding conventions. Serves as coding consultant to care providers.
• Identifies discrepancies, potential quality of care, and billing issues.
• Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors.
• Identifies reportable elements, complications, and other procedures.
• Serves as resource and subject matter expert to other coding staff.
• Assists lead or supervisor in orienting, training, and mentoring staff.
• Provides ongoing training to staff as needed.
• Handles special projects as requested.

• Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients with regard to coding procedures.

Job Requirements:

• Proven work experience as an Orthopedic Surgery Coder or similar role
• Experience in researching and applying coding rules and regulations.
• Knowledge of medical terminology including orthopedic surgical procedures and coding guidelines

• Extensive knowledge of medical terminology, anatomy, and physiology
• Knowledge of personal computer applications and Electronic Medical Record
• Excellent interpersonal, oral, and written communication skills
• Must be able to communicate and interact with physicians and staff effectively.
• Outstanding organizational and decision-making skills.
• Ability to work well in a team environment. Being able to triage priorities and multi-task.
• Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Preferred Qualifications:

• ICD-10: 2 years (Required)
• Medical Billing: 2 years (Preferred)
• Orthopedic Surgery Coding: 2 years (Required)
• Spine Coding In and Out Patient (Preferred)
• Certified Orthopedic Surgery Coder (Preferred)
• Certified Professional Coder (Required)
• High school or equivalent (Preferred)