Profee Multi-Specialty (Ortho) Coder at CPa Medical Billing

East Haven, Connecticut, United States -

Full Time

Start Date

Immediate

Expiry Date

05 Jun, 26

Salary

0.0

Posted On

07 Mar, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Orthopedic Coding, Coding Guidelines, Bundling/Unbundling Rules, Modifier Usage, Coding Compliance, Charge Review, Claim Edit Review, Denial Resolution, EPIC, POS 11, POS 21, POS 22, In-Office Procedures, Orthopedic Surgeries, CPC Certification, AHIMA Certification

Industry

Hospitals and Health Care

Description

Description Full & Part-Time, Remote Opportunities About the Role We are seeking highly experienced Orthopedic Medical Coders with current expertise in orthopedic coding to support a dynamic healthcare organization. This role requires coders who are actively coding orthopedics on a regular basis. The ideal candidate will be fully up to date on current orthopedic coding guidelines and comfortable providing coding feedback and education to orthopedic providers, particularly regarding bundling/unbundling rules, modifier usage, and coding compliance. Key Responsibilities Charge Review Work Queues Review provider-submitted coding in EPIC against clinical documentation Resolve EPIC edits and recommend coding corrections to departments Claim Edit Work Queues Review provider-submitted coding and address clearinghouse rejections and claim edits Recommend appropriate coding corrections based on documentation Follow-Up Work Queues Review post-bill denials and payer edits Analyze documentation and recommend coding updates to resolve issues Additional responsibilities include: Reviewing documentation to ensure coding accuracy and compliance Working billing and coding edits, denials, and payer requirements Providing coding guidance and feedback to orthopedic providers and departments Requirements Minimum 5 years of active, ongoing orthopedic coding experience Current CPC (AAPC) or equivalent certification through AAPC or AHIMA Extensive experience coding orthopedic services in POS 11, 21, and 22 Experience coding in-office procedures and orthopedic surgeries Strong knowledge of billing edits, clearinghouse edits, and payer denials Comfortable providing coding feedback and education to providers Preferred Qualifications CEMC certification Experience with EPIC Experience with Medicaid of California guidelines Multi-specialty coding background Orthopedic Coding Expertise Required Candidates must demonstrate strong experience coding: Spinal injections / pain management procedures Open fracture repair Hand surgery, fracture care, and tendon repairs Carpal tunnel release Hardware removal procedures Neuroplasty Arthroscopy (shoulder, knee, hip) Arthroplasty (shoulder, knee, hip) Joint repairs Why Join Us Remote work opportunity Work with a collaborative and highly specialized team Full suite of benefits for full-time employees Free CEU opportunities All equipment supplied Apply Today If you are an experienced Orthopedic Coder actively coding orthopedics and looking for your next remote opportunity, we encourage you to apply today.

Responsibilities

Key responsibilities involve reviewing provider-submitted coding in EPIC against clinical documentation, resolving edits, and addressing clearinghouse rejections and claim edits across various work queues. The role also requires analyzing post-bill denials and recommending coding updates to resolve issues.