Description
Summary/Objection: Assists with the oversight of the day-to-day operations and overall functions of the coding department, using a variety of designation codes, charts for surgery, and hospital care records for physician review and optimizing reimbursement. Contributes in the delivery of excellent orthopaedic care in a patient centered environment by completing data entry and coding for the premier orthopaedic care provided within the multi-specialty practice.
Essential Job Functions include but are not limited to the following:
- Assists with the oversight of the operations of the coding department, coordinate and a liaison with physician and/or hospital staff and computer systems for hospital charge information while maintaining an active workload.
- Assists with direction and oversight to help improve operations, decrease turnaround times, streamline work processes, and work cooperatively to provide quality customer service.
- Provides regular education to the coders and the providers.
- Manages billing records, reports and files.
- Supervises coding personnel, which includes work allocation, training, and problem resolution; evaluates performance, and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.
- Provides day-to-day guidance and oversight of team; actively works to promote and recognize performance and foster professional development.
- Performs audits on procedure, and diagnosis based on dictated notes and verifies invoice charges information in practice management system to ensure quality control of billing is correct and in compliance with HCFA regulations.
- Inputs and verifies ICD-10, CPT and HCPCS in compliance with the documentation.
- Ensures the activities of the coding operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with new, revised and rules for federal, state, and payer regulations, guidelines, and requirements.
- Ensures compliance with HIPAA, OSHA and safety compliance. Contributes to and oversees the OrthoCincy compliance plan.
- Attends meetings and assists with training and implementation of improvements based on audit results.
- Makes recommendations on HR issues affecting assigned staff, including hiring, promotion, discipline, attendance, compensation, and termination. Conducts new hire training and continuing education.
Requirements
Education: High school diploma or equivalent. Associates degree in a related field is preferred. Certified Professional Coder (CPC) is required. Certified Evaluation and Management Coder (CEMC), Certified Orthopaedic Surgery Coder (COSC) is preferred.
Experience: Minimum of 2 years of previous coding experience is required.
Other Requirements: Schedules will change as department needs change, including overtime, evening and weekends. Travel as needed.
Performance Requirements:
Knowledge:
- Knowledge of OrthoCincy’s Mission, Vision and Values.
- Knowledge of coding and clinic rules, guidelines, compliance, and operating policies.
- Knowledge of anatomy and medical terminology.
- Knowledge of and stays currents on all coding guidelines and updates.
- Knowledge of billing practices and clinic policies and procedures.
- Knowledge electronic health records and practice management systems.
- Knowledge of HIPAA guidelines.
Skills:
- Excellent organizational, multi-tasking and adaptability skills.
- Detail oriented.
- Basic math skills.
Abilities:
- Ability to understand and interpret policies and procedures.
- Ability to communicate and educate medical providers.
- Ability to read and interpret medical charts.
- Ability to examine documents for accuracy and completeness.
- Ability to maintain productivity set forth by leadership, while ensuring accuracy.
- Ability to communicate effectively and work with others.
- Ability to maintain a 93% accuracy rate.
Equipment Operated: Standard office equipment.
Work Environment: Office environment.
Required Mental/Physical Demands: Sitting about 90% in front of a computer screen. Fast paced high productivity environment. Must be able to remain focused and attentive without distractions (i.e. personal devices).
