Bone & Joint Specialist, one of Indiana's leading providers in orthopedic care, is seeking a skilled and detail-oriented Certified Medical Coder to join our in-house team. This role is essential to supporting our revenue cycle operations. The ideal candidate will have strong knowledge of medical billing practices, a commitment to accuracy and the ability to work efficiently in a fast-passed healthcare environment. This is an excellent opportunity to be part of a collaborative team dedicated to delivering high-quality patient care. PLEASE NOTE: This is an on-site position and not eligible for remote work. We are seeking serious qualified applicants who are ready to contribute and grow with our organization.
QUALIFICATIONS:
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Certified Professional Coder Certification (Required) AAPC Preferred * this is an In-Person position*
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Keeps coding certification current and earn yearly CEU’s to stay certified.
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Computer skills required: Electronic Medical Records Software; Spreadsheet Software (Excel); Word Processing Software (Word); Electronic Mail Software (Outlook);
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Other skills required:
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Proficiency in ICD-9 and ICD-10 coding systems.
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Previous experience in medical billing or coding is required.
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Experience in appeals preferred.
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Familiarity with DRG (Diagnosis Related Group) coding is preferred.
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Excellent customer service skills both over the phone and by email.
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Exceptional professionally written communication skills.
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Strong research and organizational skills.
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Detail-oriented with the ability to multi-task.
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Ability to work independently and prioritize tasks effectively.
DUTIES AND RESPONSIBILITIES:
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Review and analyze medical records and patient information to ensure accurate billing.
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Verify patient insurance coverage and process claims for reimbursement.
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Communicate with healthcare providers to resolve any billing discrepancies or issues.
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Maintain up-to-date knowledge of coding guidelines and regulations.
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Collaborate with other members of the billing team to ensure timely and accurate billing.
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Review patient documents for accuracy to include but not limited to office visits, surgical, and non-surgical procedures.
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Ensure proper coding on provider documentation.
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Verify that all codes are current and active.
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Report missing and/or incomplete documentation to provider and/or clinical staff.
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Meet daily coding production expectations.
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Perform accurate charge entries.
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Understand coding and reimbursement regulations and recognize the order in which services are billed to ensure maximum reimbursement by reading various coding and insurance newsletters and websites.
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Monitor, make updates and changes to fee schedule.
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Accurately post services based on global services data by applying NCCI edits, AAOC, NASS and ASSH Global Guidelines for all applicable insurance carriers.
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Serve as a resource regarding insurance resolutions and coding questions.
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Communicate changes and updates in coding requirements from insurance carriers to supervisor.
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Post daily charges and correct posting errors in practice management system.
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Assist with external and / or internal audits as requested.
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Review and make corrections based on the Missing Encounter Report.
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Audit charges provided by hospitals/surgical centers to capture all charges for posting.
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Complete annual education courses as required.
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Follow HIPAA, State and Federal regulations.
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Performs other related duties as assigned by management.
**Please note this is an in-person position not qualified for remote.
