Certified Medical Coder

Overview

Our unique medical facility provides exclusive healthcare amenities to the community, with a focus on treating traumatic injury patients. A wide range of medical and rehabilitative services is offered, including diagnostic and rehabilitation care. The organization is driven by a clear vision to continuously improve services and support the community’s health needs. All offices are multilingual and staffed to ensure a welcoming and comfortable experience for all.

The organization is growing rapidly and seeks qualified individuals to join the team. With a strong culture of support and professional development, employees are empowered to thrive and grow in their roles.

Job Description

A highly skilled and detail-oriented Certified Medical Coder with expertise in Pain Management and Orthopedic coding is needed to join a dynamic team. The ideal candidate will have a strong understanding of coding guidelines and regulations to ensure accurate coding, optimal reimbursement, and compliance.

Responsibilities

• Accurate Coding: Assign appropriate ICD-10, CPT, and HCPCS codes for pain management and orthopedic services, including surgical procedures, injections, and diagnostic tests.
• Documentation Review: Analyze medical records and operative reports to ensure documentation supports accurate coding.
• Compliance: Ensure coding practices adhere to federal, state, and payer-specific regulations, including NCCI edits and LCD/NCD guidelines.
• Denial Management: Work with billing and clinical staff to resolve coding-related denials and implement corrective actions.
• Education & Training: Educate providers and staff on documentation requirements and coding updates.
• Quality Assurance: Participate in audits and quality improvement efforts to maintain high standards of coding accuracy.
• Data Analysis: Use coding data to identify trends, enhance revenue opportunities, and support process improvement.

Qualifications

• Certification: Active AAPC certification (CPC, COSC, or CANPC) or AHIMA equivalent (CCS, CCS-P).
• Experience: Experience in pain management and orthopedic specialties.
• Knowledge: Proficient in ICD-10-CM, CPT, HCPCS Level II coding, and musculoskeletal and pain management terminology.
• Technical Skills: Familiarity with EHR systems and coding software (e.g., EncoderPro, 3M).
• Analytical Skills: Strong attention to detail with the ability to interpret complex medical documentation.
• Communication: Excellent verbal and written communication skills to work effectively with providers and team members.

Preferred Qualifications

• Advanced Certification: COSC (Certified Orthopedic Surgery Coder) or CANPC (Certified Anesthesia and Pain Management Coder).
• Audit Experience: Experience conducting coding audits and implementing compliance strategies.
• Regulatory Knowledge: Understanding of CMS guidelines, HIPAA regulations, and payer-specific policies.

Schedule

Monday-Friday, 9a-5p