Facility Coder II
The CORE Institute
- Phoenix, Arizona, United States
- Phoenix, Arizona, United States
About
Codes complex orthopedic surgical cases across multiple subspecialties including spine, joint replacement, hand surgery, podiatry, and neurology-related musculoskeletal procedures.
Applies appropriate DRG and/or APC assignment methodologies in compliance with federal and payer-specific regulations.
Ensures coding accuracy and compliance with ICD-10-CM/PCS Official Guidelines, UHDDS definitions, CMS regulations, and other applicable standards.
Utilizes hospital EMR and coding systems to capture all required clinical and demographic data for accurate billing and reporting.
Collaborates with physicians and clinical staff to clarify documentation and ensure complete and accurate coding.
Provides education and feedback to providers and staff regarding documentation improvement opportunities related to orthopedic surgical services.
Meets or exceeds established productivity and quality benchmarks.
EDUCATION
High school diploma or GED required.
Associate degree in Health Information Management or related field preferred.
Must hold
at least one
of the following credentials: RHIT, CCS, CIC, COC, COSC
EXPERIENCE
Minimum of
3+ years of facility/hospital coding experience
required.
Demonstrated experience coding
inpatient and outpatient hospital cases .
Strong background in
orthopedic surgical coding , including complex musculoskeletal procedures.
Experience with DRG and/or APC assignment preferred.
Prior remote coding experience preferred.
REQUIREMENTS
Advanced knowledge of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems.
Strong understanding of orthopedic anatomy, physiology, and surgical procedures.
Proficiency with hospital coding software and electronic medical record systems.
Ability to independently manage coding assignments with minimal supervision.
Excellent attention to detail and commitment to coding accuracy and compliance.
KNOWLEDGE
Comprehensive understanding of coding guidelines, including ICD-10-CM/PCS Official Guidelines, UHDDS, CMS regulations, and payer-specific requirements.
Knowledge of DRG and APC reimbursement methodologies.
Familiarity with government and commercial insurance policies.
In-depth knowledge of musculoskeletal disease processes, surgical techniques, and related specialties (neurology, pain management, rehabilitation).
SKILLS
Strong analytical and critical thinking skills for complex case review.
Effective communication skills when interacting with providers and interdisciplinary teams.
Ability to educate clinical staff on documentation and coding best practices.
Proficiency in computer systems, coding tools, and data entry.
ABILITIES
Ability to maintain strict patient confidentiality in compliance with HIPAA.
Ability to work independently in a remote or office-based environment.
Ability to manage multiple priorities while maintaining accuracy and productivity standards.
ENVIRONMENTAL WORKING CONDITIONS
Remote or standard office environment. HIPAA compliant.
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.
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Languages
- English
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