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Coding Specialist III - Orthopedics

MedStar Health

Maryland • Today

Full-time

USD 28.76 - 48.96 per hour

AI Specialist. Information Security Engineer AI-Driven Coding

Ardent Technologies, Inc.

Hybrid in Pontiac, Michigan • 9d ago

Easy Apply

Contract, Third Party

Depends on Experience

Document Control Specialist III

V-Soft Consulting Group, Inc

Remote • Today

Easy Apply

Contract, Third Party

$31.75

IT Security Specialist III

Innova Solutions, Inc

Denver, Colorado • 30+d ago

Easy Apply

Contract

Depends on Experience

CDI Specialist III

Jobot

No location provided • Today

Full-time

USD 35.00 - 65.00 per hour

CDI Specialist III

Jobot

No location provided • Today

Full-time

USD 35.00 - 65.00 per hour

ENGINEERING SPECIALIST III - 43001001

State of Florida

Tallahassee, Florida • Today

Full-time

USD 55,000.00 per year

Documentation Systems Specialist III

Afton Scientific

Charlottesville, Virginia • Today

Full-time

USD 25.00 - 35.00 per hour

Documentation Systems Specialist III

Afton Scientific

Charlottesville, Virginia • Today

Full-time

USD 25.00 - 35.00 per hour

ENGINEERING SPECIALIST III - 37020925

State of Florida

Orlando, Florida • Today

Full-time

USD 58,376.88 per year

AI Specialist III

Eliassen Group

Charlotte, North Carolina • Today

Contract

Biomedical Engineering Support Specialist III

ARETUM

Des Moines, Iowa • Today

Full-time

USD 45,000.00 - 70,000.00 per year

Biomedical Engineering Support Specialist III

ARETUM

Kansas City, Missouri • Today

Full-time

USD 45,000.00 - 70,000.00 per year

Cyber Security Operations Specialist III - Tier 3

CACI International, Inc.

Springfield, Virginia • Today

Full-time

USD 75,200.00 - 158,100.00 per year

Specialist III-IC Data Sciences

Bank of Montreal

Chicago, Illinois • Today

Full-time

USD 142,210.00 - 165,600.00 per year

Fiber Network Documentation Specialist III

Astreya Partners

Remote or Colorado • Today

Full-time

USD 85,120.00 - 134,400.00 per year

Technical Specialist III

PTR Global

Richmond, Virginia • Today

Easy Apply

Full-time

Compensation information provided in the description

IT Specialist III

CDI Engineering Services

Beaumont, Texas • Today

Full-time

Operations Specialist (Level III)

Talent Software Services, Inc

Miami, Florida • 16d ago

Easy Apply

Contract, Third Party

$21.03 - $21.03

IT Technician III - MSP Network & Operations Specialist

TeamLogic IT of Menlo Park

Manchester, New Hampshire • Today

Full-time

Information Systems Applications Specialist III Oracle EPM

SystemDomain, Inc.

Remote • Today

Easy Apply

Full-time, Part-time, Contract, Third Party

Consumer Loan Servicing Specialist: III (Senior)

Talent Software Services, Inc

Akron, Ohio • 27d ago

Easy Apply

Contract, Third Party

$30 - $35

Network Specialist III (Site Cluster Lead)

Five Stones Research Corporation

Washington • Today

Full-time

USD 100,000.00 - 145,000.00 per year

Lead PostgreSQL Database Administrator (Specialist III)

Donato Technologies Inc

Albany, New York • Today

Easy Apply

Third Party, Contract

Depends on Experience

Data Support Specialist III

LabCorp

Burlington, North Carolina • Today

Full-time

USD 21.00 - 25.00 per hour

Private Credit Deal Closing Specialist III

Kforce Technology Staffing

Newport Beach, California • Today

Contract

$55 - $65 hourly

Document Controls Specialist III

Envision LLC.

Hybrid in Decatur, Illinois • Yesterday

Easy Apply

Contract

Depends on Experience

PUCT, Engineering Specialist/Project Engineer/Engineer (Eng Spec III - VI; Proj Mgr II - V; Engineer III - VI)

CAPPS

Austin, Texas • Today

Full-time

USD 6,123.00 - 10,064.00 per month

Communications Specialist III (Remote)

Kforce Technology Staffing

Remote or San Diego, California • Today

Contract

$43.00 - $53.27 hourly

Enterprise Network Specialist III

San Diego Community College District

San Diego, California • 16d ago

Full-time

Depends on Experience

Job Details

Skills

Professional Services
Forms
IDX
Editing
Billing
Productivity
Medical Records
Management
Mentorship
Extraction
Evaluation
Documentation
Training
Attention To Detail
Organizational Skills
Regulatory Compliance
Pathology
Communication
Recruiting

Summary

About this Job:
MedStar Health is looking for a Coding Specialist III with extensive experience in Orthopedics coding to join our REMOTE coding team! Ideal candidate will have the COSC (Certified Orthopedic Surgical Coder). Full time, Monday - Friday, dayshift position.

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 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 and 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.

Minimal Qualifications
Education

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

Experience

5-7 years Medical-professional coding experience with demonstrated ability to work independently required. Additional years of experience strongly preferred
2 years experience leading others or leading a work stream required
Experience with computer systems for encoding and abstracting required

Licenses and Certifications

CPC (Certified Professional Coder) certification required

Knowledge Skills and Abilities

Demonstrated 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.
Working knowledge of payer policies CMS policies local and national regulatory and compliance policies; regular utilization of all available coding resources.
Ability to toggle between specialty coding disciplines including ancillary services Anesthesia Emergency Medicine Radiology Pathology and others.
Verbal and written communication skills.
Basic computer skills preferred.

This position has a hiring range of : USD $28.76 - USD $48.96 /Hr.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: RESLBFEED
Position Id: 21523_11350_175724
Posted 6 hours ago

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Job Details

Skills

Professional Services
Forms
IDX
Editing
Billing
Productivity
Medical Records
Management
Mentorship
Extraction
Evaluation
Documentation
Training
Attention To Detail
Organizational Skills
Regulatory Compliance
Pathology
Communication
Recruiting

Summary

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.

Minimal Qualifications
Education

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

Experience

5-7 years Medical-professional coding experience with demonstrated ability to work independently required. Additional years of experience strongly preferred
2 years experience leading others or leading a work stream required
Experience with computer systems for encoding and abstracting required

Licenses and Certifications

CPC (Certified Professional Coder) certification required

Knowledge Skills and Abilities

Demonstrated 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.
Working knowledge of payer policies CMS policies local and national regulatory and compliance policies; regular utilization of all available coding resources.
Ability to toggle between specialty coding disciplines including ancillary services Anesthesia Emergency Medicine Radiology Pathology and others.
Verbal and written communication skills.
Basic computer skills preferred.

This position has a hiring range of : USD $28.76 - USD $48.96 /Hr.

Dice Id: RESLBFEED
Position Id: 21523_11350_175724
Posted 6 hours ago

Fitment

Dice Job Match Score™

To see how well you match this job, please log in or create an account.

Once logged in, be sure to complete your profile to get the most accurate match score.

Create job alert

Never miss an opportunity! Create an alert based on the job you applied for.

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