Coding Compliance Specialist jobs in Daytona Beach, FL

Description

The Orthopedic Clinic is a leader in the orthopedic community of East Central Florida. Our team is dedicated to providing compassionate and cutting-edge orthopedic care. We believe every patient should receive the best possible care, our practice offers an array of services specializing in general orthopedics, spine care, sports reconstruction, adult reconstruction and non-surgical treatments. The Orthopedic Clinic is a well-respected practice that was established in 1961 and has a rich history of providing exceptional Orthopedic care to the community. We currently have eleven Orthopedic Surgeons, Interventional Pain Management Physician, ten Mid-Level Providers, and a Physical Therapy team who serve patients at four locations within Volusia and Flagler counties.

POSITION EXPECTATIONS:

*This position requires onsite work availability*

The Medical Coding Specialist will be responsible for reviewing patient medical records and extracting all applicable ICD10 and CPT codes for billing purposes. The coder will verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered and assign appropriate modifiers.

• Assign ICD-10 and CPT codes accurately for Physician services

• Review medical documentation, assign the appropriate procedure and diagnosis codes

• Reviews physician documentation to ensure accurate coding of all office and surgical procedures

• Demonstrates knowledge and remains current in regard to ICD''s current version, CPT codes

• Abide by the AHIMA Standards of Ethical Coding and adhere to official coding guidelines

• Provide support, education and training related to, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards

• Knowledge of Local Coverage Determinations and National Coverage Determinations (LCD/NCD)

• Experience with surgery coding and E&M coding

• Post charges accurately and submit electronic claims

• Resolve any claim rejections, including CCI edits

• Research inadequate documentation and rejected or denial claims

• Query attending physicians for documentation and diagnostic clarification

• Researches coding requirements for new and existing office services and procedures.

• Plan, organizes, and integrates priorities and deadlines.

• Identify, analyze, and resolve operational issues.

• Evaluate and make recommendations for continuous quality improvement.

Requirements

REQUIRED QUALIFICATIONS:

• CPC/CPC-A with min of 2 years of medical experience with coding orthopedics and E&M services required

• Previous customer service experience, preferably in medical/healthcare setting

• Proficiency in the use of Microsoft Office Products, EPM and EHR software applications, preferably Athena

• Must be able to proficiently speak, read and write in English

• Clean Driving Record / Proof of auto insurance

Full compensation package for Full Time Positions to include: competitive salary, medical, dental, vision, STD, LTD. Life insurance, 401k, profit sharing, paid time off, continuing education reimbursement

The Orthopedic Clinic is an Equal Opportunity Employer and fully subscribe to the principles of Equal Employment Opportunity. Applicants and/or employees are considered for hire, promotion and job status, without regard to race, color, citizenship, religion, national origin, age, sex (including sexual harassment, sexual orientation, and gender identity), disability or handicap, genetic information, citizenship status, veteran, or current or future military status or any other category protected by federal, state, or local law.

The Orthopedic Clinic is a drug free workplace all applicants under consideration for employment will be drug screened as part of the hiring process. All offers of employment at The Orthopedic Clinic are contingent upon clear results of a thorough background check.