Coder

Come join our thriving team! *This is a hybrid schedule* 

Job Summary

Reviews, interprets, and codes surgical medical records for reimbursement purposes using ICD-10-CM standards. Reviews operative reports for all procedures performed by Excelsior Physicians for completeness and to abstract and code clinical data, using standard classification systems. Operates computer to process, store, and retrieve health information.

Duties and Responsibilities

• Audits accuracy of ICD-10-CM diagnosis codes on all claims prior to submission.
• Audits accuracy of HCPCS and CPT codes on all procedures and services performed prior to submission. Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code.
• Receives hospital information to properly bill provider services for hospital patients.
• Audits medical records to ensure proper coding completed and to ensure compliance with federal and state regulatory bodies.
• Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.
• Maintains compliance standards in accordance with the Compliance policies and the Code of Conduct. Reports compliance problems appropriately.
• Contacts providers to train and update them with correct coding information.
• Attends seminars and in-services as required to remain current on coding issues.
• Quantitative analysis - Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
• Qualitative analysis - Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.
• Performs other related duties, which may be inclusive, but not listed in the job description.

Requirements and Qualifications

• Podiatry or Physiatry coding experience desired.
• Current medical coding certification.
• Surgical Coding preferred.
• Orthopaedics, pain management, and physiatry coding experience preferred.
• Proficiency with a minimum of one (1) year experience in EMR and practice management computer programs.
• Knowledge of orthopedic, physical therapy, and/or podiatry medical terminology preferred.
• Medent EMR experience preferred.

Physical Demands

• Position requires manual and finger dexterity and hand-eye coordination.
• Involves standing and walking.
• Team member will occasionally be asked to lift and carry items weighing up to 30 pounds. Normal visual acuity and hearing are required.

Benefits

We offer a comprehensive benefits package that includes health (with employer contribution), dental, and vision insurance, employer paid base life, and other voluntary benefits*.  Time off benefits include paid combined time off (CTO) and seven paid holidays, plus a floating holiday after one year of service.  Retirement benefits include a 401(k) with company contribution and profit sharing after one year of service.  Qualified team members become eligible to participate in medical benefits on the 1st of the month following date of hire, and retirement benefits after 90 days.   

We also provide professional development opportunities, flexible work schedules, wellness incentives, healthy vending options, and relaxed dress code on Fridays. Our community-focused culture encourages participation in local events, fundraisers, and causes chosen by our team.  We are committed to providing our employees with the resources they need to thrive both personally and professionally. 

*Other voluntary benefits include Voluntary Short Term Disability, Long Term Disability, Critical Illness, Accident Insurance, Supplemental Life Insurance, and legal and identity protection and pet insurance.

Who We Are

Excelsior Orthopaedics is a multi-specialty orthopedic practice that has been providing comprehensive care since 2002.  We have multiple locations throughout the Western New York region and a free-standing ambulatory surgery center, Buffalo Surgery Center.  Excelsior Orthopaedics offers a suite of in-house services including general orthopaedic evaluation and treatment, podiatry, physical & occupational therapy, nutrition counseling, sports training, outreach athletic training, orthopaedic express care, imaging, durable medical equipment, and an outpatient total joint program.  Buffalo Surgery Center provides surgical and procedural treatments for orthopaedic, pain and spine, podiatry, total joint replacement, and gastrointestinal patients.  Our mission is to transform the lives of our patients by restoring function and enhancing quality of life.  We are committed to innovative care that is driven by patient needs and supported by the most skilled, experienced team in Western New York.

The pay range for this position is determined based on several factors, including the candidate’s years of experience, qualifications, training, licenses, designations, and the overall market conditions.

This job description does not state or imply that the duties and responsibilities listed are the only ones required of this position.  Team members in this role will be required to perform other job-related duties at the discretion of the employer and may have additional duties assigned as necessary.  

Excelsior Orthopaedics and Buffalo Surgery Center are committed to the full inclusion of all applicants.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information.