CLINIC CODER - REMOTE

Job Description

Job Description

Position Responsibilities/Standards:

General

• Attend department, clinic or company meetings as required
• Demonstrate sound judgment by taking appropriate actions regarding questionable findings or concerns
• Consistently work in a positive and cooperative manner with fellow staff members.
• Consistently demonstrate ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.
• Attend required annual in-service programs.
• Demonstrate knowledge and understanding of all company policies and procedures.

Core Values

• Communication: Verbal and written communications are effective in soliciting and conveying information. Information is clear, concise and timely.
• OrthoAlliance Policies: Consistently adheres to OrthoAlliance Policies and Procedures (i.e.: including but not limited to: appropriate cell phone and computer usage, dress code, etc.). Also follows all OSHA and HIPAA regulations.
• Teamwork: Demonstrates teamwork within department and with company contacts. Allows for flexibility in how work is accomplished. Treats others with respect and dignity.
• Initiative: Takes initiative in routine situations and proceeds when appropriate. Learns new processes, procedures and technology as needed. Makes appropriate decisions.
• Patient Care/Customer Service: Responds to patients and coworkers in a friendly and professional manner. Anticipates patient needs, patients always come first.
• Dependability: Consistent pattern of good attendance and punctuality. Employee can be relied upon to meet work schedule and complete duties.

Duties and Responsibilities

• Translate all clinical documentation into appropriate CPT, ICD-10, and HCPCS codes.
• Apply technical coding principles and reimbursement rules to ensure accurate assignment of diagnoses and procedures, including Evaluation & Management (E/M) coding.
• Partner with healthcare providers to verify that documentation supports coding accuracy and completeness.
• Provide guidance to clinical staff on CMS regulations, coding, billing, and documentation standards.
• Manage an assigned provider workload and maintain coding productivity.
• Monitor documentation and coding practices to identify and resolve compliance risks or missed revenue opportunities.
• Stay current on all aspects of CPT, HCPCS, ICD-10-CM, and payer coding guidelines.
• Research and resolve coding and billing questions.
• Participate in department, clinic, or company meetings as required.
• Ensure adherence to compliance regulations in all coding activities.
• Perform other duties as assigned.

Education/Experience Required:

• Education: High school diploma or equivalent required.
• Certification: Certified Professional Coder (CPC) required.
• Experience: 1-2 year of coding experience
• Proficient in HCPCS, ICD-10, and CPT coding guidelines, as well as medical terminology, anatomy, and physiology.
• Strong ability to accurately assign codes for diagnoses and procedures, with emphasis on E/M coding in orthopedics.

Physical Requirements:

Physical requirements for the position include the ability to frequently hear and communicate orally, see up close and at a distance, read and comprehend, stand, sit, walk, reach, handle, and/or feel objects. Must be able to climb, pull, push and kneel. Maximum unassisted lift = 25 lbs. Average lift less than 10 lbs. Must be able to work extended hours as necessary.