Guidehouse · 3 days ago
Remote - Pro Fee Coder - Ortho Surgery
District of Columbia, United States
Full-time
Remote
Mid Level
$43K/yr - $64K/yr
3+ years exp
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Responsibilities
Demonstrates the ability to perform quality surgical coding on Ortho surgery along with E/M as assigned.
Maintains a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.
Assures that all services documented in the patient’s chart are coded with appropriate ICD-10 and CPT codes. When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards.
Achieves and maintains 95% accuracy in coding while maintaining a high level of productivity. Accuracy will be monitored during monthly reviews either within the facility.
Works the review queue daily to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary.
Charts that require re-bills are corrected and communicated to the facility daily for the re-bill process. See re-bill policy in facility guidelines.
Responsible for working directly with the IQC staff to ensure quality standards are being met for each facility.
Provides accurate answers to physician’s/hospitals coding and/or billing questions within eight hours of request.
Coders must maintain their current professional credentials while working for Guidehouse.
Coders are responsible for becoming familiar with the Guidehouse coding website and using the information contained in the website as a daily tool to correctly code and abstract for each facility.
Coders are responsible for maintaining HIPAA compliant workstations (reference HIPAA workstation policy)
It is the responsibility of each coder to review and adhere to the coding division policy and procedure manual content.
Works well with other members of the facilities coding and billing team to insure maximum efficiency and reimbursement for properly documented services.
Qualification
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Required
High school diploma or equivalent and 3-5 years Physician Coding experience (Relevant experience may be substituted for formal education)
2-3 years coding ortho procedures.
CPC (certified professional coder) certification from AAPC (American Academy of Professional Coders)
EMR (electronic medical record) experience
Must maintain credential throughout employment
Strong Working Knowledge & experience with Federal & State Coding regulations and Guidelines
Preferred
COSC credential from AAPC
Multiple EMR and/or practice management systems experience
E/M experience along with surgical coding experience (Office, OP and OR procedures with Ortho Spine surgical coding preferred as well.)
Must be able to work independently, multi-task well and interface with all levels of personnel as well as clients
Excellent verbal, written and interpersonal communication skills
Advanced knowledge of Excel, Word and PowerPoint
High level of accuracy
Benefits
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
Company
Guidehouse
Guidehouse offers consulting services for public and commercial markets with expertise in management, technology, and risk consulting.
10,001+ employees
Funding
Current Stage
Late StageTotal Funding
$0.75MKey Investors
Mission Daybreak
2023-11-06Acquired· by Bain Capital Private Equity ($5.3B)
2023-02-16Grant· $0.75M
Leadership Team
Scott McIntyre
Chairman and CEO
Alicia Harkness
Partner
Recent News
2024-11-11
2024-11-06
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