Coder PB | Revenue Cycle - Team 11 - Ortho | Days | Full-Time | CERTIFIED | REMOTE

Position Summary:

This role is responsible for reviewing, analyzing, and assigning final diagnoses and procedures as documented by the practicing provider, following all compliance policies and guidelines. The position ensures accurate coding of office and hospital procedures to guarantee proper reimbursement.

Key responsibilities include:

• Providing physician education to ensure proper completion of Electronic Health Records (EHR).
• Ensuring correct assignment of ICD-10-CM, HCPCS, and CPT codes.
• Delivering education verbally, in writing, and through hands-on training as needed.

Responsibilities:

• Review clinical documentation and code to the highest level of specificity for accurate charge capture.
• Interact with providers to provide feedback and education using verbal, written, and hands-on communication methods.
• Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS codes for billed services.
• Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State regulations.
• Communicate with physicians, business group personnel, clinical staff, and other relevant parties regarding coding-related questions.
• Manage coding-related edit work queues efficiently.
• Prepare documentation audits with written results and trend data; present findings to Providers, Department Chairpersons, and/or Compliance Officers.
• Maintain compliance standards according to internal policies and report compliance issues appropriately.
• Identify and account for missing charges and/or documentation.
• Perform coding work requiring independent judgment with timeliness and accuracy.
• Perform all other duties as assigned.

Qualifications:

Experience Requirements:

• Minimum 3 years of medical billing experience – Preferred
• Minimum 3 years of extensive experience in physician coding – Required
• Experience with medical management information systems and medical software – Required

Education:

• High School Diploma – Required

Certification / Licensure:

• Certified Professional Coder (CPC) – Required at time of hire

Additional Duties:

• Additional duties as assigned may vary

Equal Employment Opportunity Statement:
UFJPI is an Equal Opportunity Employer and a Drug-Free Workplace.