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Lead Coder Reimbursement - Orthopedic

Dallas, Texas · Healthcare
Excellent Medical Facility looking to add  a Lead Coder Reimbursement Worker to their team!!!

"Must Have" Skills for This Job:
1. Minimum education required: High school diploma or equivalent (GED)
2. Preferred: Bachelor’s degree in related field
3. 5 years coding experience and (Completion of college level courses in medical terminology, anatomy and physiology)
4. Orthopedic Surgery Coding experience preferred
5. Experience working with application systems, Practice Management, Encoder Pro & Epic

*** Licensure/certification required UPON HIRE: CPC - Certified Professional Coder -OR- CCS-P-Certified Coding Specialist -  Physician Based

Preferred: UPON HIRE
-Specialty certification such as
-CGSC - Certified General Surgery Coder
-COSC - Certified Orthopedic Coder
-CCC - Certified Cardiology Coder
***AAPC Specialty Credentials Preferred***

Job Duties:
Supports leadership in daily coding activities including productivity monitoring, coding/edit charge review, failed claims/followup resolutions, training, education, and research. Ensures all professional aspects of the assignment of diagnostic and procedure coding is carried out in compliance with applicable Medicare, Medicaid, and third party payer guidelines to ensure receipt of accurate reimbursement. Adheres to internal coding policies and expectations set forth my management and acts as a trainer, resource, and mentor for less experienced staff. Accurately abstracts information from the medical records assigns ICD-9/10-CM, CPT-4, and HCPCS level II codes in compliance with established guidelines. Provides codes to various departments upon request. Serves as a subject matter expert, providing direction to less experienced staff. May assist with training, auditing, and/or reviewing productivity and quality rates under the leadership of department management. Reviews supporting clinical documentation for hospital based services and procedures to ensure accurate code assignment in support of third party payer guidelines. Maintains documentation to record/track discrepancies. Compares hospital charges posted against procedures coded and identifies any discrepancies. Notifies leadership of any discrepancies and collaborated to rectify the same. Participates in special projects and completes other duties as assigned.

WORK SCHEDULE: Full-time Days 40 hours weekly 5 days/week / Monday - Friday 8:00 am - 5:00 pm


**Must have CPC, not CPC-A (meaning apprentice)
**Must 5+ years experience

***Full Benefits Offered***

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