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Outpatient Surgery Coding Consultant/Auditor - Orthopedic

EdiPhy Midwest -
Remote

Quick Apply

Job Details

Part-time | Full-time | Contract
9 days ago

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
Life insurance

Qualifications

Anatomy knowledge
Microsoft Excel
Medicare
Medical Coding Certification
Medical coding experience in outpatient clinics
Certified Professional Coder
Medical coding for surgical records
Orthopedics
Hospital experience

Full Job Description

Applicants must reside in the United States and be a US citizen or green card holder.

EdiPhy Midwest, a leading provider of services to the healthcare industry, is currently looking for full-time or part-time employee or contractor to serve as an Outpatient Surgery Coding Consultant/Auditor on our team. Applicants need to have 5 years of experience with outpatient facility surgery coding in a hospital setting. Expertise in general and orthopedic surgery are required.

Job Summary:

Consultants conduct in-depth evaluation of outpatient charges, coding and billing accuracy and documentation adequacy for accurate reimbursement and risk adjustment.

Our team members are encouraged to be critical thinkers, proactive, self-directed and detail oriented. Healthcare is a challenging industry that requires the ability to flourish in an ever-changing environment. We value each team member and are committed to each other and to the company’s success. It is a professional environment where we have high expectations regarding conduct and communications.

Skills and Qualifications:

Knowledge of ICD-10-CM, CPT and HCPCS Level II coding
Knowledge of Medicare OPPS & MPFS reimbursement methodologies along with through knowledge of Medicare reimbursement and billing guidelines.
Knowledge of medical necessity of services through the CMS part A and B Local and National Coverage Determinations
Solid understanding of anatomy and physiology is required.
Software Platforms used at EdiPhy - Microsoft Office (Word, Excel, PowerPoint, Outlook and Sharepoint), FoxIt, TruBridge encoder / grouper software, and various EHRs. Training is provided.

Experience:

Hospital based outpatient ICD-10-CM, CPT & HCPCS Level II coding; 5 years
NUBC revenue codes, mapping structures and experience with UB-or and 1500 claim and payment remittance statements, a plus
Outpatient CDI knowledge, a plus

Certification and licensure:

Have one of the following - COSC or CGSC preferred. Other credential considered CPC, COC, CPMA, CCS-P, CDEO, CCDS-O

Work Environment: Because the majority of our work can be provided remotely, consultants are able to work from a home office. When travel is required, we make every effort to limit the number of days away from home to two or three days in a week and provide an opportunity for consultant input into the schedule before finalizing with the client.

Physical Demands: Prolonged periods of sitting at a desk and working on a computer.

Job Types: Full-time, Part-time, Contract

Benefits:

401(k)
Dental insurance
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance

Application Question(s):

What is your state of residence?

License/Certification:

Medical Coding Certification (Required)

Work Location: Remote

Quick Apply

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