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Certified Professional Coder

Orthopaedic Specialists of North Carolina Raleigh, NC
billing cpc medical team revenue revenue cycle cycle insurance procedures orthopaedic medical billing health training
March 16, 2023
Orthopaedic Specialists of North Carolina
Raleigh, NC
FULL_TIME

POSITION OVERVIEWOrthopaedic Specialists of North Carolina is seeking a full-time Certified Professional Coder (CPC) with a strong orthopaedic background as well as a comprehensive knowledge of medical billing to join our team! In this role, you will be responsible for charge entry as well as providing billing & coding expertise for the clinic and ASC including: E&M, surgical, imaging, DME, and physical therapy coding. The position will support the revenue cycle functions of the practice and ASC. The ability to work under pressure and accurately prioritize problems & initiatives is essential. Experience with Athena Health is preferred.All members of the Revenue Cycle team will be provided cross-training to ensure each member of the staff has the support they need to succeed. The Revenue Cycle Department seeks out employees with the desire to make a difference, the fortitude to handle stressful situations, and the initiative to produce results while striving to provide an excellent patient experience.Orthopaedic Specialists of North Carolina offers a team-oriented work environment and competitive compensation package, with full-time benefits including health insurance, dental insurance, life insurance, short-term and long-term disability, paid time off, paid holidays, paid training, and 401(k).To apply for this position, please send a letter of interest to the email provided and include an updated resume and references.For more information about our company, please visit our web site at www.orthonc.com. We are an equal opportunity employer.GENERAL RESPONSIBILITIES:-Read and interpret medical record documentation to independently assign and/or ensure the accuracy and appropriateness of assigned CPT/HCPCS & ICD-10 coding.-Provide CPT and ICD-10 codes for precertification and financial estimates.-Apply federal guidelines in the coding of patient diagnoses and procedures according to CPT/HCPCS and ICD-10-CM coding conventions.-Assist the billing department in denial resolution, i.e., verifying and correcting all coding issues. (CCI edits, research inadequate documentation, query surgeons for clarification, etc.)-Provide follow-up and reinforcement of correct coding guidelines to maintain continued compliance.-Provide coding support and education to physicians/billing staff regarding new procedures/practices and federal regulations.-Maintain a 95% accuracy rate at all times.-Research coding requirements for new and existing office/ASC services and procedures.-Perform monthly audits-Participate in ongoing professional development activities through seminars, the use of coding reference materials, newsletters, etc.-Must maintain CPC credentials and stay current on all coding rules and regulations.-Microsoft Office proficiency required; particularly Excel.-Performs other related duties that may be inclusive, but not listed in the job description.REQUIRED MINIMUM QUALIFICATIONS:-High school diploma or equivalent General Educational Development (GED) certificate.-Certified Professional Coder (CPC) is required.-5 years combined medical billing/coding experience; minimum 2 years orthopaedic specific.The above reflects the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements that may be inherent in the job.


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