Job Description

Bluegrass Orthopaedics is hiring a full-time Certified Medical Coder in Lexington, KY.

Under the direction of the Business Services Director & Coding Supervisor, performs various duties to accurately interpret and bill physician charges for physician services. Enters appropriate CPT and ICD-10 codes into EMR/billing system; bills charges. This position will report to the Coding Supervisor.

  As a representative of Bluegrass Orthopaedics, all comments, attitudes, actions, and behaviors directly impact the company’s image and the perception of quality service. Interaction with patients, families, physicians, referral services, visitors, volunteers, coworkers, supervisors, and vendors must be conducted in a friendly, supportive, courteous, respectful, cooperative, and professional manner. This behavior fosters an atmosphere of teamwork aligned with company standards and guidelines, promoting positive relationships and excellent patient care.

Duties and Responsibilities

• Performs initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third party payers.
• Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services.
• Enters appropriate data into the EMR/billing system by selecting the appropriate codes, diagnosis and modifiers.
• Contacts physicians through management regarding procedures and other services billed to ensure proper coding.
• Responsible for reviewing provider surgery logs and other reports of clinical activity to ensure billing is captured for all patients.
• Reviews all physician documentation to ensure compliance with third party and regulatory guidelines.
• Works in conjunction with the reimbursement staff to answer all inquiries regarding coding and billing for physicians' services.
• Works in coordination with other members of the Billing Office as necessary.
• Meets and exceeds short and long term goals as established for the department.
• Performs duties and job functions in accordance with the policies and procedures established for the department.
• Reports to work, meetings and professional obligations on time as scheduled.
• Participates in administrative staff meetings and attends other meetings and seminars as scheduled.
• Assists in evaluation of reports, decisions, and results of department in relation to established goals.
• Recommends new approaches, policies, and procedures to influence continuous improvements in department's efficiency and services performed.
• Serves as a member of the Billing Department. Performs duties necessary to ensure the team's projects/goals are completed.
• Takes ownership of special projects, researches data and follows through with detailed action plans.
• Performs other related duties as required and assigned.
• Adheres to Company, Department and HR policies and procedures.

Skills and abilities

• Skill in performing coding and billing tasks appropriately.
• Skill in establishing and maintaining effective working relationships with managers, administrative staff, other employees, patients, and external parties
• Outstanding communication and telephone skills.
• Skill in managing time remotely while accomplishing goals timely and efficiently.
• Ability to gather and interpret clinical data.
• Ability to work independently in a fast-paced environment.
• Ability to evaluate, improve, and make suggestions for improvement.
• Ability to express ideas clearly and concisely in oral and written form.

Education and Experience:

•   Coding Certification
•   High school diploma or equivalent required.
• 3-5 years of coding experience in a medical setting.
• Strong verbal and written communication skills.
• Knowledge of medical terminology.
• Proficient computer skills required.
• Legible handwriting.

Physical Requirements:

• Must possess the physical and mental abilities to perform the tasks normally associated with a Certified Coding Specialist role which involves 90 percent sitting and 10 percent walking, standing, lifting up to 20 pounds and stooping. Works under stress.
• Good visual acuity.
• Ability to speak and hear effectively.
•   Able to lift  and carry more than 25 pounds, which may require pushing, pulling, and full-range body movement.  
• Ability to stoop, kneel, crouch, reach, grasp, and stand for extended periods.
• Must be able to withstand extreme hot and cold temperatures.

Job Classification:

• Non Exempt

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