The triage nurse provides telephonic nursing support to orthopaedic patients, including managing treatment plans, medication refills, and urgent concerns. They also collaborate with physicians and physician assistants to document patient progress and provide post-operative education.
Acts as a liaison between patients and physicians to schedule surgeries, pre-operative tests, and operating room time. Manages insurance precertification and counsels patients on their financial responsibilities and insurance coverage.
Responsible for reviewing operative reports and physician documentation to assign accurate CPT, ICD-10, and HCPCS codes for orthopedic services. The role involves collaborating with clinical staff and the billing team to ensure compliance with federal regulations and resolve reimbursement issues.
The Coding Specialist is responsible for reviewing clinical documentation to assign accurate diagnosis and procedure codes for orthopedic services. They also collaborate with providers and the billing team to ensure compliant claim submission and resolve documentation discrepancies.
