Certified Medical Coder II

If these attributes align with the job culture you are seeking - then OrthoCarolina might be the right fit for you! 

We are currently searching for a Coding Technician II to join our Coding Team at OrthoCarolina in Charlotte. This is a hybrid position.  

The Coding Technician II is responsible for accurate coding of 600+ general orthopedic surgery cases for assigned physicians. A coding tech II must be knowledgeable regarding assignment of EM coding for hospital services. Provide written feedback to physicians on coding changes or identified trends affecting their practice and in-services as requested by physicians or manager. Mentors less experienced coding team staff. Works with the business services department in the denial process. Works with office staff in scheduling/ precertification by providing CPT codes prior to surgery. Responsible for advanced coding projects and additional assignments as requested by Manager/Director.  

Other duties may include: 

• Maintains a working knowledge of CPT and ICD-10 CM coding principles, governmental regulations, protocols and third-party requirements regarding billing and documentation guidelines by attending continuing education seminars and coding/reimbursement meetings. Enhances professional growth through a commitment to ongoing education programs, conferences and workshops. Attends required meetings and participates in committees upon request. 

• Provides accurate answers to physician’s coding and/or billing questions on a timely basis. 

• Assures that all services documented in the patient’s record are coded with the appropriate CPT-4 and ICD-10 CM codes.  When services are not documented appropriately, seeks to attain proper documentation in a timely matter. 

• Coordinates with pre-certification office in providing CPT and ICD-10 codes prior to surgery date as well as surgical estimates when needed.  

• Provides patients with surgical estimates and CPT codes for proposed surgery when requested. 

• Mentors and meets with AR staff on a regular basis to assure maximum efficiency, reimbursement for properly documented services, identify coding denial trends and create new reimbursement strategies. 

• Coordinates the proper coding of co-surgeries with other surgery groups in the community to ensure proper reimbursement and coding regulations are adhered to. 

• Participates in area coders meetings and attends continuing education seminars on an as needed basis. 

• Remains up-to-date on billing protocols, pricing methodologies, proper utilization of global edits and the CCI. Remains current with federal legislative changes that effect coding and reimbursement. 

• Reviews, modifies and recommends changes to policies and procedures to improve coding and reimbursement efficiencies. 

• Establishes and maintains a professional working relationship with physicians and staff. 

• Responsible for working and resolving reimbursement reports on an ongoing basis. 

• When necessary, begins the appeal process to capture maximum reimbursement according to contract, government and/or third-party payer guidelines. 

• Participates in special projects and continuing education of staff as requested by manager and assists Compliance Officer with special projects and the continuing education of staff and physicians. 

• Adheres to all regulations and policies set forth by the clinic, all governing agencies and third-party payers to ensure proper compliance and follows and adheres to month-end coding guideline. 

A career at OrthoCarolina will provide you with opportunities for career advancement, dedicated peer support, and continuing education. Our company is committed to providing our employees with the utmost positive work environment. Benefits offered include: 

• Medical, Dental, Vision Insurance 

• Health Savings Account 

• Life Insurance 

• Voluntary Supplemental Life 

• Voluntary Critical Illness/Accident/Hospital Indemnity 

• Short Term/Long Term Disability Insurance 

• 401(k)/ROTH Retirement Plan 

• Employer 401(k) Safe Harbor 

• 401(k) Profit Sharing Plan 

• 529 Savings Plan 

• Employee Assistance Program 

• Voluntary Wellness Program 

• Tuition Reimbursement 

• Voluntary Legal Plan/Identity Theft 

OrthoCarolina is one of the nation’s leading independent academic orthopedics practices serving North and South Carolina and the Southeast since 1922. OrthoCarolina provides compassionate and comprehensive musculoskeletal care including operative and non-operative care, diagnostic imaging and rehabilitative therapy. Widely known for musculoskeletal research and training, OrthoCarolina physicians have specialized expertise in foot and ankle, hip and knee, shoulder and elbow, spine, sports medicine, hand, pediatric orthopedics, and physical medicine and rehabilitation. We commit to improving the lives of all we serve, by providing premier patient care and compassionate, personalized service.  Over 300 OrthoCarolina providers see more than one million patient visits throughout western North Carolina each year. 

OrthoCarolina. A Better Choice.