ORTHOPEDIC SURGICAL CODER (AZ)

Job Description

Job Description

Description:

Preferred: Local candidates with Arizona residency, having a good working knowledge of Arizona insurances

General summary of duties: Responsible for assisting the Billing Manager with the full revenue cycle of the organization including coding, billing, charges, denials, adjustments, and reimbursements.

Supervision received: Reports to Billing Manager

Education: CPC certification required. BS or equivalent preferred

Pay: DOE (Depending on Experience)

Responsibilities include:

• Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines.
• Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding.
• Interact with and provide support to the practice to answer questions and resolve claim denials.
• Employ strong understanding of the encounter/billing process, and working knowledge of a Medicare, Commercial, and all other insurance plans as well as, their impact on reimbursement. Utilize medical reference resources and contacts to thoroughly research coding issues and to maintain working knowledge of payment/reimbursement systems to ensure maximum reimbursement and coding compliance.
• Identify opportunities for billing/coding improvements. Participate in developing, implementing, and reviewing programs for coding compliance monitoring, criteria for benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.
• Meet or exceed productivity and quality standards as assigned by management.
• Take responsibility for various projects as assigned by management and perform any additional/miscellaneous duties (not inclusive of job description) as requested by the management team within the scope of knowledge/ability.
• Work as a team player and communicate in a positive manner with co-workers, managers, providers, and other contacts.

• Must have CPC certification and surgical billing experience as well as claims adjudication experience.

• Must have knowledge of surgical coding and the ability to review and natively code complex operative procedure reports.

• Must have experience with working with Commercial, Medicare, Medicaid, and secondary insurance plans.

• Must be able to adequately communicate and coach providers on proper billing practices.

• Must be familiar with current coding trends including ICD 10.

• Experience with MS Office and Athena EMR helpful.

• Skills in establishing and maintaining effective working relationships with patients, medical staff, and the public.

• Work at an efficient and fast pace.

• Must be self-motivated.

• Must be highly organized and have excellent attention to detail.

• Skills in exercising initiative, judgment, discretion, and decision-making to achieve organizational objectives.

Physical/Mental Demands:

• Sitting/standing for 8-9 hours a day.

• Must be able to view computer screen for long periods.

• Requires hand-eye coordination and finger dexterity.

• Occasional stress related to workload and assisting patient/staff/physicians with problems.

About us

Since 1978, Flagstaff Bone and Joint has thrived as a successful private, physician-owned orthopedic and spine practice in the heart of Flagstaff. Our goal is to always respect patients' time and money while fostering a culture of excellence. FBJ's standards for quality are held very high. We are customer-centric, collaborative, and fast-paced, and our teams enjoy a positive employee culture where they can build growth and skills to further their careers in healthcare. Our employees are our greatest asset and we hope you consider joining our fun and dedicated team

Our work culture includes:

• Fun, engaging, ambitious team environment

• Modern and beautiful office setting

• Growth and professional development opportunities

• Regular social events

• On-the-job training

• High employee satisfaction

• Caring, compassionate and transparent leadership

• Over 100 employees on the FBJ team!

FBJ offers the following benefit programs (for full-time employees):

• Medical Insurance – Blue Cross Blue Shield of AZ (must work 30 hrs / week or more)

• Health Savings Account (H.S.A.)

• Voluntary Dental Insurance

• Voluntary Vision Insurance

• Telehealth medical care through BCBS

• Voluntary Life Insurance

• Group life insurance in the amount of $50,000

• Voluntary Short-Term Disability

• 401k & 401k ROTH Retirement plan with Pension Plan * After 1 year

• Eight paid days off for holidays (after 90-day Introductory Period)

• Paid Time Off: 80 hours of PTO in your first year, with 120 hours provided to you on your anniversary date

Notes about our benefit programs:

• Medical benefits begin the first of the month following 60 days

• Paid Time Off (PTO) begins after 90-day Introductory Period

• Annually, FBJ contributes the equivalent of $413 monthly to each employee’s medical insurance premium to offset the cost

• FBJ contributes the entire premium for $50k of group term life insurance

• $350 credit to be used at FBJ, if you or your family needs care with us

• Positions working less then 40 hrs / week will have pro-rated PTO amounts

• Finalization of hiring is contingent on a clear background check.

Group Information- Flagstaff Bone and Joint, PLLC:

• We are a well-established, private practice providing quality musculoskeletal care to Northern Arizona since 1978.

• Our center strives to provide state-of-the-art care along with comprehensive medical education and superior customer service.

• We have a competent team of staff with a supportive atmosphere and brand-new clinic and ambulatory surgical center facilities.

• We have Arizona clinic locations: Cottonwood, Flagstaff and Kingman.

• Our center provides integrated ancillary services for patient convenience including digital x-ray, ultrasound, custom bracing, durable medical equipment, EMG/nerve conduction studies, and occupational and physical therapy. FBJ Core Ideology: Always respect patients’ time and money while fostering a culture of excellence.