Job Summary

The Business Office Certified Coder reviews coding and documentation for all services provided by the practice through chart auditing as well as AR denials and provides ongoing education to providers regarding coding and documentation while exercising discretion and independent judgment .

Key Accountabilities

Computer skills including, but not limited to, MS Office required.

Essential Duties

• Audits physician and non-physician provider documentation for compliance with carrier and billing regulations.
• Tracks and maintains records of all audits, results of conducted audits, and education.
• Develops a pass/fail system and re-audit procedure based on audit results.
• Participates and assists actively with external audits.
• Creates trainings for physicians and staff based on current coding standards and regulations.
• Reviews and corrects AR Denials for coding issues
• Provides monthly statistics on audits conducted, trainings provided, and re-trainings for providers failing an audit
• Requests and reviews confidential employee and physician information as per state and federal Excluded Party and Sanctioned Individual regulations.
• Requests and reviews contractor and business associate information as per state and federal Excluded Party and Sanctioned Individual regulations.
• Creates, tracks, maintains, and audits covering physician logs for all applicable offices.
• Exemplifies the desired culture and philosophies of the organization.

Qualifications

• CPC certification required through the AAPC
• Minimum five years of surgical coding experience, preferably orthopaedic
• Knowledge of disease process, normal/abnormal findings, reasonable courses of treatment, quality assurance, and risk management issues required
• Computer skills including, but not limited to, MS Office required
• High School diploma or GED required; Bachelor's degree in nursing or other medical field preferred

Location

fully remote, but candidates must reside in CO, CT, DE, FL, GA, MA, MD, NC, NJ, OH, PA, SC, TX, VA, or WI.

Hours

Monday - Friday: 8:00am - 4:30pm EST

Total Hours per Week

40

Status

permanent

Pay Range

$21.00/hr - $31.00/hr

Our Commitment to Employees

Come work at Rothman Orthopaedics! Our employees are our single greatest asset, as such, we strive to provide a professional, nurturing environment where every member of our team can make a meaningful difference in the lives of others. Our employees enjoy competitive pay, comprehensive health and dental benefits, tuition reimbursement, paid time off, and retirement savings plans.

Rothman Orthopaedics is an Equal Opportunity employer committed to providing opportunities to all qualified applicants without regards to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. We value developing an inclusive and equitable environment that strengthens our organization and allows us to better attract and retain a diverse workforce that is representative of our patients and our community. We model our values by creating and enacting practices that encourage participation from all backgrounds, perspectives, and experiences.

Remote Employment Policy

If you are being hired into a remote eligible position, please be aware that Rothman Orthopaedics is only registered to support remote employment in a limited number of states. If you relocate to a new state and Rothman Orthopaedics is not registered in that state, you may no longer be eligible for a remote position and continued employment with Rothman Orthopaedics. Please contact HR for any questions or a list of states where remote employment may be authorized.

CPC certification required; 5+ years surgical coding experience; knowledge of disease process and risk management; MS Office; high school diploma or GED required; must reside in one of 15 listed states.

Key Responsibilities

• auditing documentation
• reviewing denials
• training providers

Skills & Tools

Microsoft Office

Job Details

• Category: Healthcare Services - Allied Health
• Seniority: Senior Level
• Commitment: Full Time
• Workplace: Remote — Colorado or Connecticut or Delaware or Florida or Georgia or Massachusetts or Maryland or North Carolina or New Jersey or Ohio or Pennsylvania or South Carolina or Texas or Virginia or Wisconsin
• Salary: USD 43,680 – 64,480 / year
• Languages: English

Benefits

• Generous paid time off
• Tuition reimbursement
• Retirement plan

About Rothman Orthopaedics

An orthopaedic practice providing medical services and coding compliance. — Industry: Healthcare