Coding Specialist II - Orthopedics (COSC)

General Summary of Position

We are actively recruiting for an Orthopedic Coding Specialist II to join our Physicians' Billing team. This is a remote 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 MedStar Physicians' Billing Services (MPBS) processes are up to date and compliant regarding coding issues. Assists manager as required. Mentors and reviews work of Coding Edit Specialists, Coding Specialist I as required.

Minimum Qualifications

Education

• High School Diploma, GED or equivalent required
• Bachelor's degree preferred
• Consideration will be given to appropriate combination of education, training, and experience

Experience

• 3-4 years medical-professional coding experience with demonstrated ability to work independently. Experience with computer systems for encoding and abstracting required
• 1-2 years leading others or leading a work stream

Licenses and Certifications

• CPC (Certified Professional Coder) certification required
• COSC (Certified Orthopedic Surgical Coder) strongly preferred

Knowledge, Skills, and Abilities

• Attention to detail accompanied by outstanding organizational skills.
• Ability to interact effectively with physicians, liaisons, department administrators and associates.
• Ability to work independently and practice self-direction.
• Ability to communicate and deal with physicians in a professional, articulate manner and understand medical terminology specific to body systems.
• In-depth knowledge of billing process, including, but not limited to, claims submission, whether manual or electronic, different payer requirements re: modifiers and correct diagnosis/procedure linkage.
• Broad, deep medical knowledge, including but not limited to: extensive knowledge of medical terminology, knowledge of human anatomical systems/body systems, and knowledge of medical procedures performed by physicians, nurses and allied health workers.
• Working knowledge of payer policies, HCFA policies, local and national regulatory and compliance policy, knowledge of all available coding resources.
• Basic computer skills preferred.

This position has a hiring range of $28.20 - $44.83