Oct 18, 2019

Certified Medical Coder - Orthopedics

  • Professional Diversity Network
  • Newton, MA, USA
Full-Time Nurse

Job Description

Atrius Health

Atrius Health is a nonprofit healthcare leader delivering a system of connected care that enables us to know our patients better so that we can serve them well. Across 32 clinical locations, more than 50 specialties and 825 physicians, we provide proactive, customized care to more than 720,000 adult and pediatric patients across eastern Massachusetts. The Atrius Health practices including Dedham Medical Associates, Granite Medical Group, Harvard Vanguard Medical Associates and PMG Physician Associates - together with VNA Care - work in collaboration with hospital partners, community specialists and skilled nursing facilities, to develop innovative and effective ways of delivering care in the most appropriate setting, making it easier for patients to be healthy. We believe that by establishing a solid foundation of knowledge, understanding and trust with each of our patients, we enrich their health and enhance their lives.

Summary of Position

Under general supervision, assigns codes to medical procedures and diagnosis to ensure compliant billing coding of facility and office based services. Monitors and reviews all medical records in order to assure the accuracy of medical coding, including appropriate completion and documentation of physician signatures, and proper coding of all diagnoses and procedures. Thorough understanding of CMS/Medicare regulations, as well as technical knowledge of the International Classification of Disease (ICD-9) and Current Procedural Terminology (CPT-4) classification systems. Provides billing department with accurate completed coded reports for processing, notifying sites of missing information and following up accordingly. May provide administrative and data entry support as required. Reports to a Billing Manager.

Essential Functions

*Ensures that professional services are captured and coded and ensures coding compliance with federal regulations and insurance requirements. Ensures that CPT and ICD codes are aligned so that there will be no question as to relationship between diagnosis and treatment and the claim will be reimbursed.

*Evaluates and interprets medical records and reports in order to accurately code diagnosis and procedures. Assesses encounter documentation using Center for Medicare and Medicaid Services (CMS) documentation standards. Based on provider's documentation identifies possible documentation changes which, if implemented, would more accurately account for services provided. Presents findings to provider and works to resolve issue.

*Correctly enters coding information into an EpicCare electronic medical record system.

*Serves as a resource on coding issues.

*Assists with the development of processes and procedures structured to optimize reimbursement, limit liability and enhance data integrity.

*Keeps up to date on billing/coding rules, including the annual update of CPT-4 and ICD-9 codes. Maintains CEUS needed for certification.

*Performs all job functions in compliance with applicable federal, state, local and company policies and procedures.

Non-Essential Functions

Performs other duties as needed. Any other duties performed which are not listed as essential functions are considered non-essential functions.

Minimum Requirements

Education: High school graduate or equivalent. 2-4 year degree in healthcare or related field preferred. Certification in medical coding a must (CCS, CPC, RHIT, RHIA, AHIMA, or AAPC)

Skills and Experience: At least 3 years coding experience. Thorough knowledge of medical terminology and ICD-9-CM and CPT4 coding. Understanding of both the medical and business side of healthcare operations. Highly organized, self-motivated, detail-oriented and energetic team player. Ability to multi-task in a fast-paced environment. Excellent verbal and written communication skills. Must be detail oriented. Strong computer skills including MSOffice, Internet, and E-mail. Excellent problem solving ability and good interpersonal skills.

Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of Atrius Health will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation and gender identity and/or expression, or other dimensions of diversity.

Excellent benefits Include:

* Up to 8% company retirement contribution,

* Generous Paid Time Off

* 10 paid holidays,

* Paid professional development,

* Competitive health and welfare benefit package.

Atrius Health is an equal opportunity/affirmative action employer and does not discriminate in recruiting, hiring, training, promoting or any other employment practices on the basis of race, color, religion, sex, marital status, age, sexual orientation, gender identity, national origin, military service or application for military service, veteran or disability status.

Applicants have rights under Federal Employment Laws: Family and Medical Leave Act (FMLA);Equal Employment Opportunity (EEO); and Employee Polygraph Protection Act (EPPA).

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