Essential Job Responsibilities:

• Coordinates with clinical staff to assure documentation supports CPT and ICD 10 codes. .
• Appropriately codes information about procedures performed and selects specific diagnosis codes from documentation. Modifiers are added to ensure multiple procedures are reimbursed appropriately.
• Verifies and completes charge information in database and produces billing, assures eligibility verification supports reimbursement.
• Works with surgery schedulers to track and capture documentation on all scheduled procedures and tracks census at surgery centers and hospitals to assure all charges are captured.
• Works with billing staff to support follow-up on bundled services, denials related to medical necessity, and reviews all appeals to assure documentation supports coding.
• Scrubs daily charge entry for possible missing modifiers.
• Aids in the training of financial counselor, reviews process of surgery schedulers to assure prior authorization and coding is appropriate before surgery.
• Audits five E & M charts per quarter per provider and coaches providers on improved documentation.
• Prepares training for providers related to specificity of diagnosis codes.
• Assures CCI edits are reviewed each quarter to assure bundling edits are understood and changes in modifier usage is communicated to billing.
• Continually trains on orthopedic, pain management, trauma/reconstruction codes.

Experience:

• Certification by AAPC or other qualified organization is required.
• Minimum of 3 - 5 years of experience in billing and coding required, Orthopaedic coding preferred.
• Experience in coding outpatient and inpatient E&M and surgical/procedural coding
• Greenway Primesuite practice management experience is a plus

As a member of the Southlake team you can expect:

• Generous Paid Time Off based on years of service
• Health & Welfare benefits starting the first of the month following your date of hire:
  • BCBS Medical
  • Dental
  • Vision
  • Company paid Life Insurance
  • Voluntary Life, Accident, Cancer, and Critical Illness coverage
  • Employee Assistance Program
• 401(k) plan after one year of employment
• Referral Bonus program
• Monday - Friday schedule for most roles