• Job Description

  Req#: 103769

  Job Details

  Level: Entry

  Job Location: Annex - San Antonio, TX

  Position Type: Full Time

  Salary Range: $18.00 Hourly

  Travel Percentage: None

  Job Shift: Day

  Description

  Get to know us:

  TSAOG Orthopaedics is a large multi-specialty physician group. We have been here since 1947 and were not going anywhere. We take a big part in Community outreach with our Light Charity program. If you are looking for a team that enjoys Laughing, is Family orientated, and has the work hard play hard mentality, then this company is for you. We value Respect, Communication, Accountability, Dependability and Compassion. A place where you can rely on great Teamwork and Integrity. We are a place that is true to its values. If this is what you are looking for then look no further.

  Summary of position:

  We are looking for a sharp, ambitious, and enthusiastic Coding Specialist to join our team. The successful candidate is someone that is passionate about working in a care team model with a personal responsibility of providing care for our orthopaedics patients and clinical support to the team. The right candidate will be able to provide an exceptional patient care experience that promotes healing and recovery, and having an attention to detail mindset while being caring and compassionate.

  If you're a people person looking to join an amazing company in the world of Orthopaedics, this is the place for you!

  What You'll Do:

  • Assign appropriate diagnosis, procedure, modifier, and other codes, such as quality codes, based on clinical documentation, utilizingcorrect coding conventions and established policies and procedures for assigned specialty, in addition to multiple specialties.
  • Research and resolve client coding and documentation questions utilizing appropriate resources
  • Resolve pre-billing coding related edits for surgery cases or office visits as assigned.
  • Interact with the physicians and coordinators to resolve documentation insufficiencies prior to code assignment, when appropriate.
  • Support all compliance activities related to state and federal regulatory requirements, healthcare accreditation standards, and all other applicable regulations that govern the use and disclosure of patient, financial, or other confidential information
  • Actively conduct and participate in Billing team meetings by sharing knowledge and training on new coding changes as needed.
  • Work with Revenue Cycle project Coordinator and Revenue Cycle Director to implement physician and coordinator training on coding changes, and medical policy coverage determinations.
  • Conduct quality assurance reviews on E&Ms and Surgery cases. Upon completion of audits, compiles detailed findings, and prepares reports.
  • Identifies and reports issues or errors, such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, or codes that do not conform to approved coding guidelines.
  • Assists Revenue Cycle Director with Targeted Probes, or Audits from payers relating to coding.
  • Maintains professional license and certifications and attends training conferences/webinars as necessary to keep abreast of latest trends in the field of expertise.
  • Complies with CMS regulations and company goals and policies.

  • Other duties as assigned

  What You'll Need:

  • Must have a High School Diploma or equivalent.
  • One of the following Professional Coder Certifications: Certified Coding Specialist designation (CCS) issued by the American Health Information Management Association; or Certified Professional Coder (CPC) or Certified Technologist (RHIT)
  • Preferred: ICD-10 Coding Certification
  • Minimum 3 years coding experience
  • Multi-specialty and Orthopaedics preferred.
  • Knowledge of or experience in Medicare Advantage plans
  • Consistently meets or exceeds current coding standards as defined by the Company and industry standards.
  • Demonstrated experience and a proven track record in coding, training, and/or service development
  • In-depth knowledge and understanding of coding compliance and quality assurance
  • Strong accuracy, attentiveness to detail and time management skills for translating complex medical documentation into diagnostic classification system codes.
  • Experience with MS Word, Excel, PowerPoint, and comfortable with learning and becoming an expert on new and proprietary software.
  • Highly skilled at establishing priorities and coordinating work activities.
  • Has exceptional initiative and follow-through on projects with minimal supervision or guidance.
  • Excellent research, follow through and documentation are required.
  • Ability to perform multiple and complex tasks.
  • Ability to develop and maintain effective relationships
  • Ability to communicate effectively

  Qualifications

  
  

• About the company

  The San Antonio Orthopaedic Group provides the highest quality in comprehensive orthopedic services for San Antonio, TX and the surrounding areas.

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