CLINIC CODER - REMOTE - OrthoAlliance : Job Details

Position Responsibilities/Standards:General

• Attend department, clinic or company meetings as required
• Demonstrate sound judgment by taking appropriate actions regarding questionable findings or concerns
• Consistently work in a positive and cooperative manner with fellow staff members.
• Consistently demonstrate ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.
• Attend required annual in-service programs.
• Demonstrate knowledge and understanding of all company policies and procedures.

Core Values

• Communication: Verbal and written communications are effective in soliciting and conveying information. Information is clear, concise and timely.
• OrthoAlliance Policies: Consistently adheres to OrthoAlliance Policies and Procedures (i.e.: including but not limited to: appropriate cell phone and computer usage, dress code, etc.). Also follows all OSHA and HIPAA regulations.
• Teamwork: Demonstrates teamwork within department and with company contacts. Allows for flexibility in how work is accomplished. Treats others with respect and dignity.
• Initiative: Takes initiative in routine situations and proceeds when appropriate. Learns new processes, procedures and technology as needed. Makes appropriate decisions.
• Patient Care/Customer Service: Responds to patients and coworkers in a friendly and professional manner. Anticipates patient needs, patients always come first.
• Dependability: Consistent pattern of good attendance and punctuality. Employee can be relied upon to meet work schedule and complete duties.

Duties and Responsibilities

• Translate all clinical documentation into appropriate CPT, ICD-10, and HCPCS codes.
• Apply technical coding principles and reimbursement rules to ensure accurate assignment of diagnoses and procedures, including Evaluation & Management (E/M) coding.
• Partner with healthcare providers to verify that documentation supports coding accuracy and completeness.
• Provide guidance to clinical staff on CMS regulations, coding, billing, and documentation standards.
• Manage an assigned provider workload and maintain coding productivity.
• Monitor documentation and coding practices to identify and resolve compliance risks or missed revenue opportunities.
• Stay current on all aspects of CPT, HCPCS, ICD-10-CM, and payer coding guidelines.
• Research and resolve coding and billing questions.
• Participate in department, clinic, or company meetings as required.
• Ensure adherence to compliance regulations in all coding activities.
• Perform other duties as assigned.

Education/Experience Required:

• Education: High school diploma or equivalent required.
• Certification: Certified Professional Coder (CPC) required.
• Experience: 1-2 year of coding experience
• Proficient in HCPCS, ICD-10, and CPT coding guidelines, as well as medical terminology, anatomy, and physiology.
• Strong ability to accurately assign codes for diagnoses and procedures, with emphasis on E/M coding in orthopedics.

Physical Requirements: Physical requirements for the position include the ability to frequently hear and communicate orally, see up close and at a distance, read and comprehend, stand, sit, walk, reach, handle, and/or feel objects. Must be able to climb, pull, push and kneel. Maximum unassisted lift = 25 lbs. Average lift less than 10 lbs. Must be able to work extended hours as necessary. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.