Business Office Certified Coder

The Business Office Certified Coder reviews coding and documentation for all services provided by the practice through chart auditing as well as AR denials and provides ongoing education to providers regarding coding and documentation while exercising discretion and independent judgment.  

Hours: Mon - Fri: 8am - 4:30pm EST

Location: fully remote, but candidates must reside in PA, NJ, DE, MD, NC, SC, GA, FL, or TX

Qualifications:

• CPC certification through the AAPC required 

• Orthopaedic coding experience required 

• Must have two years of practical clinical and/or auditing experience 

• Knowledge of disease process, normal/abnormal findings, reasonable courses of treatment, quality assurance, and risk management issues required

• Computer skills including, but not limited to, MS Office and EMR system(s)

• High School diploma or GED minimum education requirement 

Essential Duties:

• Audits physician and non-physician provider documentation for compliance with carrier and billing regulations. 

• Tracks and maintains records of all audits, results of conducted audits, and education.

• Develops a pass/fail system and re-audit procedure based on audit results.

• Participates and assists actively with external audits.

• Creates trainings for physicians and staff based on current coding standards and regulations.

• Reviews and corrects AR Denials for coding issues

• Provides monthly statistics on audits conducted, trainings provided, and re-trainings for providers failing an audit

• Requests and reviews confidential employee and physician information as per state and federal Excluded Party and Sanctioned Individual regulations. 

• Requests and reviews contractor and business associate information as per state and federal Excluded Party and Sanctioned Individual regulations. 

• Creates, tracks, maintains, and audits covering physician logs for all applicable offices.

• Exemplifies the desired culture and philosophies of the organization.

Our Commitment to Employees:

Come work at Rothman Orthopaedics! Our employees are our single greatest asset, as such, we strive to provide a professional, nurturing environment where every member of our team can make a meaningful difference in the lives of others. This commitment to our employees has earned us the distinction as a Top Workplace in Philadelphia by the Philadelphia Inquirer year after year. Our employees enjoy competitive pay, comprehensive health and dental benefits, tuition reimbursement, paid time off, and retirement savings plans. 

Rothman Orthopaedics is an Equal Opportunity employer committed to providing opportunities to all qualified applicants without regards to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law. We value developing an inclusive and equitable environment that strengthens our organization and allows us to better attract and retain a diverse workforce that is representative of our patients and our community. We model our values by creating and enacting practices that encourage participation from all backgrounds, perspectives, and experiences.