CPC Medical Coder III - Orthopedics

General Summary of Position

Ready for the next step in your CPC coding career ?  Do you have experience in Orthopedics coding and want to join a large healthcare system that employs doctors who are experts in diagnosing and treating a wide range of orthopedic conditions – from the simple to complex?

If the answer is YES then MedStar Health has a great career opportunity for YOU!

MedStar Health is seeking an experienced CPC Medical Coder with experience in Orthopedics coding to join our REMOTE team as a Coding Specialist III.  To qualify for a level III Medical Coder you must have 5-7 years medical-professional coding experience and your CPC certification.

The selected candidate will enjoy a full time Monday – Friday remote schedule.

Join one of the largest health systems in the area and enjoy the benefits of a comprehensive benefits package including paid time off health/vision/dental insurance short & long term disability tuition reimbursement and the benefits of remote work capability.

Apply today and learn how MedStar Health can provide your next great career move!

General Summary of Position- Ensures that MedStar Health’s medical-professional services are coded correctly and completely based upon extensive complete up-to-date knowledge of regulatory and specific payer requirements. Recommends policy and a procedural change to obtain optimum reimbursement for services rendered. In addition to interacting with physicians on coding issues ensures that physician encounter forms the GE IDX billing system and MMG processes are up to date and compliant regarding coding issues. Assists manager as required. Mentors and reviews work of Coding Edit Specialist Coding Specialist I and Coding Specialist II as required.

Primary Duties & Responsibilities

• Abstracts and ensures accuracy of diagnosis procedure patient demographics and other required data elements.
• Aids in the creation of training and educational coding guidance documents for physicians and MMG Associates.
• Assists in developing guidance to clinicians in optimizing dictations to promote compliance and claim to process.
• Assists in the maintenance of billing coding and editing dictionaries in the billing system.
• Consistently meets or exceeds established Quality Accuracy and Productivity standards as defined by policies.
• Contacts physician when conflicting or ambiguous information appears in the medical record. Requests diagnosis from physicians when not recorded in medical records.
• Determines the sequence of diagnoses for accurate claims submission.
• Employs knowledge of coding compliance and directs efforts to achieve quality standards identified through coding reviews or targeted by management for improvement.
• Guides and provides mentoring related to coding projects done by Coding Specialist I and Coding Specialist II to include review and correction of code selection based upon medical documentation.
• Handles complex coding case review including but not limited to surgical coding (Orthopaedics Cardiac Neurosurgery Otolaryngology etc.) extraction co-surgery scenarios multi-visceral transplant cases comorbidity evaluation.
• Identifies and reports issues and trends in physician documentation and/or work routed to Coding from other departments.
• Identifies coding trends relative to edits/denials/physician feedback.
• Recommends policy and procedural changes and improvements for revenue enhancement.
• Surveys Medical Professional Societies coding guidelines to ensure the usage of current coding combinations and rationale.

Minimum Qualifications

• High School Diploma or GED required
• Bachelor’s degree preferred
• CPC (Certified Professional Coder) certification required
• 5-7 years Medical-professional coding experience with demonstrated ability to work independently required
• 2 years’ experience leading others or leading a work stream required
• Experience with computer systems for encoding and abstracting required
• Ability to interact effectively with physicians liaisons department administrators and associates.
• Ability to work independently and practice self-direction.
• Working knowledge of payer policies CMS policies local and national regulatory and compliance policies; regular utilization of all available coding resources.

Why MedStar Health?
At MedStar Health we understand that our ability to treat others well begins with how we treat each other. We work hard to foster an inclusive and positive environment where our associates feel valued connected and empowered. We live up to this promise through:

• Strong emphasis on teamwork - our associates feel connected to each other and our mission as an organization. In return our effective team environment generates positive patient outcomes and high associate satisfaction ratings that exceed the national benchmark.
• Strategic focus on equity inclusion & diversity - we are committed to equity for all people and communities. We continue to build a diverse and inclusive workplace where people feel a sense of belonging and the ability to contribute to equitable care delivery and improved community health outcomes at all levels of the organization.
• Comprehensive total rewards package - including competitive pay generous paid time off great health and wellness benefits retirement savings education assistance and so much more.
• More career opportunities closer to home - as the largest healthcare provider in the Baltimore-Washington D.C. region there are countless opportunities to grow your career and fulfill your aspirations.

About MedStar Health
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington D.C. region while advancing the practice of medicine through education innovation and research. Our team of 32000 includes physicians nurses residents fellows and many other clinical and non-clinical associates working in a variety of settings across our health system including 10 hospitals and more than 300 community-based locations the largest home health provider in the region and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years MedStar Health is dedicated not only to teaching the next generation of doctors but also to the continuing education professional development and personal fulfillment of our whole team. Together we use the best of our minds and the best of our hearts to serve our patients those who care for them and our communities. It’s how we treat people.

MedStar Health is an Equal Opportunity (EO) Employer and assures equal opportunity for all applicants and employees. We hire people to work in different locations and we comply with the federal state and local laws governing each of those locations. MedStar Health makes all decisions regarding employment including for example hiring transfer promotion compensation benefit eligibility discipline and discharge without regard to any protected status including race color creed religion national origin citizenship status sex age disability veteran status marital status sexual orientation gender identity or expression political affiliations or any other characteristic protected by federal state or local EO laws. If you receive an offer of employment it is MedStar Health's policy to hire its employees on an at-will basis which means you or MedStar Health may terminate this relationship at any time for any reason.