Certified Coder (Remote) - Orthopedic Surgery

About the role

Responsible for timely filing of appeals to insurance companies, participates in special projects, investigates low payments and other payer issues. Performs advanced appeal activities including reviewing payer policies. Handles charge corrections.

Normal office environment. Typically sitting at desk or table. Uses standard office equipment.

Responsibilities

• Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment.
• Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code.
• Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up.
• Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required.
• Assists with efforts to increase physician awareness of documentation requirements.
• Prepares case reports and initiates follow-up for billing process.
• Performs other duties as assigned.

Requirements

A diploma, certification or degree is not required.

Must have one of the following coding credentials: Certified Coding Associate (CCA) - AHIMA, Certified Coding Specialist (CCS) - AHIMA, Certified Coding Specialist - Physician based (CCS-P) - AHIMA, Certified Professional Coder (CPC) - AAPC, Certified Professional Coder - Apprentice (CPC-A) - AAPC, Certified Professional Coder - Hospital (CPC-H) - AAPC, Certified Professional Coder - Hospital Apprentice (CPC-H-A) - AAPC, Registered Health Information Administrator (RHIA) - AHIMA, Registered Health Information Technician (RHIT) - AHIMA.

Qualifications

• Previous coding experience or experience equivalent to an associate’s degree in a related field.
• Knowledge of ICD-10 and CPT coding.
• Associate degree - Medical Coding & Billing (preferred).

Skills

• Computer Systems
• ICD-10 Procedure Coding System
• Medical Billing and Coding
• Medical Terminology

Pay

Salary Range: $26.25 - $39.36 per hour.

Schedule

Scheduled Hours: 40 hours per week (Remote, US).

Benefits

• Up to 22 days of vacation, 10 recognized holidays, and sick time.
• Competitive health insurance packages with priority appointments and lower copays/coinsurance.
• Free Metro transit U-Pass for eligible employees.
• Defined contribution (403(b)) Retirement Savings Plan, combining employee and university contributions starting at 7%.
• Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more.
• 4 weeks of caregiver leave to bond with a new child; family care resources for continued childcare needs; adult care coverage.
• WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years of service.