Certified Medical Coder - Orthopedic Coding

A Career in Healthcare has Purpose.

PBOA offers candidates of all experiences the opportunity to break into, or continue, a strong career in the healthcare industry.

With various open positions available, qualified candidates will realize:

• The opportunity to break into the healthcare industry with zero experience;
• A pathway for professional growth and opportunity;
• Comprehensive certifications in safety, privacy, compliance and ethics;
• A sense of fulfillment by supporting local orthopedic care;
• The development of new skills and education;
• A supportive and collaborative team environment.

We might be a great match if You:

• Find Empathy and Kindness are important;
• Have an enthusiastic personality with a desire to help others;
• Name problem-solving as part of your daily fulfillment;
• Retain a strong ability to communicate kindly and directly with co-workers;
• Embrace technology and systems are part of your life (i.e. a basic understanding of Microsoft Office products); and
• Are recognized by peers as a trustworthy team player with a can-do mindset.

Too good to be true? Ask our current team members:

• "Everyone is always willing to pitch in, the teamwork is great."
• "I love working here, it is a dream come true job!"
• “My favorite part about working at PBOA is the team environment, my co-workers and the acknowledgement of hard work.”
• “It is a healthy work environment where everyone gets along and works together.”
• “I have been afforded more opportunity in my short time here than with any other position I have anywhere else. This starts with the fact that they have treated me like a contributing team member since day one!"

Technical Job Duties and Responsibilities:

• Evaluate medical record documentation, discharge position, and assign coding that accurately reflects services rendered to the patient.
• Ensure that medical, diagnostic, and procedural codes and other documentation accurately reflect and support the visit.
• Follow strict coding guidelines within established productivity standards for all assignments.
• Compile necessary documentation prior to coding review; when documentation is not available, performs the appropriate steps to obtain the necessary documentation per the department’s policies and procedures.
• Effectively communicate with clinic staff, and in certain instances physicians, when code assignments are not specific or documentation is inadequate, or unclear for coding purposes; offers opportunity to submit corrected documentation.
• Notify appropriate individuals of potential non-compliance with medical necessity requirements and when services are non-covered or not payable, as appropriate.
• Correct failed claim errors to billing edits directly related to coding errors.
• Meet or exceed productivity standards as established by the department while maintaining a minimum 97% accuracy rate.
• Monitor professional and payer publications and websites to remain current on coding changes relevant to the practice and communicate these changes to the team.
• Build productive relationships with fellow members of the department and adhere to the company’s Standards of Behavior Policy.
• Provide coding and billing education to providers and staff.
• Perform audits every year to maintain efficiency with compliance standards.
• Keep up-to-date on coding standards and unique payor policies and procedures.
• Generates various forms of correspondence as needed.
• Responds timely to requests, emails, voicemails, etc.
• Maintains an approachable and appropriate attitude when interacting with all levels of personnel in a rapidly changing environment.
• Eagerness and ability to work independently as well as part of a team with flexibility and willingness to learn and take initiative on variety of tasks and projects.
• Supports the vision and culture of the organization. Demonstrates personal commitment through active involvement in the performance improvement process.
• Adheres to the Employee Handbook and Policies and Procedures

Knowledge, Skills and Abilities

• Knowledge of commercial insurance plans and Medicare and Medicaid regulations.
• Good working knowledge of medical necessity rules, local coverage determination policies, and any other payer specific guidelines.
• Extensive knowledge of CPT and ICD-10 coding
• Ability to understand and interpret clinical documentation, as well as the department billing process at a detailed level.
• Solid working knowledge of computer applications utilized in a business environment.
• Excellent verbal and written communication skills.
• Excellent organizational and customer service skills required.

Education, Experience, and Licensing Requirements:

• Must have an up-to-date certification through AAPC or AHIMA
• Must have 3 years of Orthopedic Coding experience

If you are looking to start a rewarding and fulfilling career, in an industry that has purpose and causality, please apply today!