Orthopedics outpatient coder - Full Time - Days - 8hr

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Job Summary
Reporting to the Manager Physician Coding Services, the Certified Coder Professional will be responsible for reviewing and evaluating clinical documentation within medical records to ensure high quality and compliant coding. The Certified Coder Professional will provide training, consultation, and feedback to clinicians on their documentation and coding to ensure Emanate Health Medical Group receives appropriate reimbursement and conforms to applicable guidelines and regulations. Collaborates with Emanate Health’s Compliance team and with all third party billing and reimbursement requirements including, but not limited to, the requirements of Medicare and Medicaid programs. Serves as the coding subject matter expert for the physicians.

Job Requirements
Minimum Education Requirement
Associate degree preferred; college degree preferred, knowledge of Medical Terminology, Anatomy & Physiology and Computer experience.

Minimum Experience Requirement
Minimum of 2+ years of relevant professional coding experience in a health care clinic setting. Preferred 3+ years of coding experience in a healthcare clinic setting, specifically in Family Care and/or Pediatric clinic visits, injections, vaccines, well visits or annual preventive health exams, clinic-based procedures. Strong knowledge of and experience with ICD-10 and CPT coding and thorough understanding of the effect of data quality on potential payment, utilization and reimbursement for multiple medical professional service specialties required. Understanding of ICD-10, CPT codes (including E&M leveling), HCPCS, modifiers, medical terminology and anatomy & physiology. Thorough understanding of data systems and reporting for health record coding, abstracting, and performance metrics required. Knowledge of and experience with Microsoft Office Suite required. Experience conducting training/educational sessions for professional staff including preparations of instructional materials preferred; experience with evaluating physician documentation, coding audits and quality performance preferred. The interpersonal skills necessary to interact effectively with physicians and physician office staff. The written and verbal skills necessary to develop training materials and provide training and feedback to physicians and staff. The ability to interpret documents such as encounter forms, medical records, physician documentation, lab reports, dictated reports, operating instructions and policy/procedure manuals. The ability to apply common sense understanding to carry out instructions furnished in written or oral form. The analytical skills necessary to solve practical problems involving several concrete variables in standardized situations and summarize findings. The ability to work a varied schedule including early or late hours as required along with site travel within the system. Experience with E&M and surgical coding required.

Minimum License Requirement
Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) license required. Certified Family Practice Coder (CFPC), Certified Pediatric Coder (CPEDC), and/or Certified Hematology & Oncology Coder (CHONC) preferred.

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