Orthopedic Coder at Alteva RCM
United States
$60k - $80k
<div class="content-intro"><p><strong>About Us</strong></p> <p>At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.</p></div><p><strong><span data-contrast="auto">Position Summary</span></strong><span data-contrast="auto"> </span><span data-ccp-props="{}"> </span></p> <p><span data-contrast="auto">The Professional Coder is responsible for accurately reviewing clinical documentation and assigning diagnosis codes, CPT codes, and other required codes for professional services across assigned specialties. This role applies official coding guidelines, regulatory requirements, and payer-specific rules to ensure accurate code selection, clean claim submission, and timely reimbursement. By ensuring coding accuracy and compliance, the Professional Coder plays a critical role in optimizing revenue cycle performance, reducing claim denials and audit risk, supporting regulatory compliance, and contributing to the organization's overall financial health and operational success.</span><span data-ccp-props="{}"> </span></p> <p><span data-contrast="auto"> </span><span data-ccp-props="{}"> </span></p> <p><strong><span data-contrast="auto">Key Responsibilities</span></strong><span data-contrast="auto"> </span><span data-ccp-props="{}"> </span></p> <p><strong><span data-contrast="auto">Coding Production & Accuracy</span></strong><span data-contrast="auto"> </span><span data-ccp-props="{}"> </span></p> <ul> <li><span data-contrast="auto">Review clinical documentation and accurately assign diagnosis and procedure codes for professional services in accordance with official coding guidance and payer requirements </span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="auto">Code assigned tickets accurately and in a timely manner to support clean claim submission and maximize appropriate reimbursement </span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":720,"335559737":0,"335559738":0,"335559739":160,"335559740":278,"335559991":360}"> </span></li> <li><span data-contrast="auto">Independently research and resolve coding scenarios, including payer-specific edits and documentation questions, using available resources and tools </span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="auto">Meet daily productivity targets and maintain consistent coding quality</span><span data-ccp-props="{}"> </span></li> </ul> <p><strong><span data-contrast="auto">Communication & Escalation Management</span></strong><span data-contrast="auto"> </span><span data-ccp-props="{}"> </span></p> <ul> <li><span data-contrast="auto">Communicate coding and documentation issues, trends, and potential risks to the Lead Medical Coder and/or Medical Coding Manager </span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="auto">Escalate complex scenarios or unclear documentation through established workflows to support timely resolution </span><span data-ccp-props="{}"> </span></li> </ul> <p><strong><span data-contrast="auto">Compliance, Confidentiality & Continuous Learning</span></strong><span data-contrast="auto"> </span><span data-ccp-props="{}"> </span></p> <ul> <li><span data-contrast="auto">Maintain current knowledge of coding guidelines and payer policies; maintain required credentials in good standing </span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="auto">Participate in department meetings and ongoing education; demonstrate flexibility to expand coding skills into additional specialties as business needs evolve </span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="auto">Perform other duties as assigned by leadership </span><span data-ccp-props="{}"> </span></li> </ul> <p><span data-contrast="auto"> </span><strong><span data-contrast="auto"> </span></strong><span data-ccp-props="{}"> </span></p> <p><strong><span data-contrast="auto">Performance Metrics</span></strong><span data-contrast="auto"> </span><span data-ccp-props="{}"> </span></p> <ul> <li><span data-contrast="auto">Complete coding for all cases assigned within a 48 hour period</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="auto">Daily productivity output against established targets </span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="auto">Individual coding accuracy rate (target: 95%+) </span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="auto">Escalation timeliness and documentation quality </span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="auto">Credential maintenance and continuing education compliance </span><span data-ccp-props="{}"> </span></li> </ul> <p><span data-ccp-props="{}"> </span></p> <p><strong><span data-contrast="none">Qualifications</span></strong><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":0,"335559737":0,"335559738":0,"335559739":160,"335559740":278}"> </span></p> <ul> <li><span data-contrast="none">Successful completion of an AHIMA or AAPC-approved coding program with an active credential in good standing (e.g., CPC, CCS); CPC preferred </span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":720,"335559737":0,"335559738":0,"335559739":160,"335559740":278,"335559991":360}"> </span></li> <li><span data-contrast="none">Minimum of 3 years of recent hands-on physician/professional services coding experience across one or more specialties </span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":720,"335559737":0,"335559738":0,"335559739":160,"335559740":278,"335559991":360}"> </span></li> <li><span data-contrast="none">Proficient knowledge of anatomy and physiology, medical terminology, CPT, ICD-10-CM, modifiers, disease processes, and applicable Medicare/Medicaid policies for professional services </span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":720,"335559737":0,"335559738":0,"335559739":160,"335559740":278,"335559991":360}"> </span></li> <li><span data-contrast="none">High School Diploma or equivalent required; Associate’s or Bachelor’s degree preferred </span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":720,"335559737":0,"335559738":0,"335559739":160,"335559740":278,"335559991":360}"> </span></li> <li><span data-contrast="none">Proficiency in Microsoft Office applications (Excel, Word, Outlook); experience with reporting and data analysis tools preferred </span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":720,"335559737":0,"335559738":0,"335559739":160,"335559740":278,"335559991":360}"> </span></li> <li><span data-contrast="none">Proven ability to multi-task, prioritize workload, and meet deadlines in a fast-paced environment </span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":720,"335559737":0,"335559738":0,"335559739":160,"335559740":278,"335559991":360}"> </span></li> <li><span data-contrast="none">Strong communication and interpersonal skills </span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="auto">Experience coding professional services across multiple specialties and service lines (e.g., surgical, anesthesia, E/M) preferred</span><span data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":720,"335559737":0,"335559738":0,"335559739":160,"335559740":278,"335559991":360}"> </span></li> <li><span data-contrast="auto">Experience using encoder tools and working within queue-based workflow systems to manage volume and turnaround time preferred</span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="auto">Prior participation in coding audits, denial prevention initiatives, or documentation improvement efforts preferred</span><span data-ccp-props="{}"> </span></li> </ul> <p><strong><span data-contrast="none">Additional Qualifications</span></strong><span data-contrast="none"> </span><span data-ccp-props="{}"> </span></p> <ul> <li><span data-contrast="none">In-depth knowledge of HIPAA regulations and healthcare privacy laws; maintains strict compliance at all times. </span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Exceptional attention to detail and organizational skills. </span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Ability to work independently while contributing to a team-oriented environment </span><span data-ccp-props="{}"> </span></li> <li><span data-contrast="none">Demonstrated problem-solving skills with a proactive and solution-driven approach </span><span data-ccp-props="{}"> </span></li> </ul> <p><span data-ccp-props="{}"> </span></p><div class="content-pay-transparency"><div class="pay-input"><div class="title">Pay Range</div><div class="pay-range"><span>$60,000</span><span class="divider">—</span><span>$80,000 USD</span></div></div></div><div class="content-conclusion"><p> </p> <p><strong>Benefits</strong></p> <p>Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.</p> <p> </p></div>
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