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OrthoNebraska

Coder

Posted 2 hours ago
0-2 years experience
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AI Summary

The Medical Coder analyzes patient chart documentation to translate information into standardized medical codes for professional services. They are also responsible for inputting data, performing compliance audits, and participating in performance improvement activities.

OrthoNebraska creates the inspired healthcare experience all people deserve by giving people a direct path to personalized care and life-enhancing outcomes. With a focus on safety and people, we set the bar high in providing high-quality care with an unmatched experience. Our team members are critical to our success and growth and are rewarded for their dedication and hard work. IF this sounds like the type of team and environment you want to be a part of apply today!


Position Summary


The Medical Coder Clinic Medical Coder meticulously analyses patient chart documentation and translates the extracted information into standardized medical codes for the professional component. This role needs to be detailed oriented and knowledgeable of coding guidelines.

Education: High School Diploma or GED required.

License/Certification

  • Current/active Coding certification through AHIMA or AAPC required.

Experience: 1+ year experience actively coding, including E/M levels required. Experience in Orthopedic setting preferred

Knowledge/Skills/Abilities

  • Proficiency in electronic health record, specifically Cerner, is preferred.

  • Familiarity with medical terms, coding systems, and classification standards.

  • Strong verbal and written communication skills for effective interaction with healthcare professionals and staff.

  • Efficiently manage multiple tasks and prioritize responsibilities to meet deadlines.

  • Uphold strict confidentiality and ethical standards in handling patient information.


Essential Job Functions

  • Analyze medical record documentation and accurately code and sequence diagnoses and procedures.

  • Input codes and required medical record data items

  • Complete coding and health information management compliance audits and other projects as assigned by the Coding and Compliance Coordinator/Health Information Manager

  • Customer service and public relations.

  • Participate in coding and documentation performance Improvement activities Is expected to comply with safety policies and procedures, regulatory requirements such as OSHA and JCAHO and to participate in corporate-wide and department safety activities

  • Employee is responsible for all other duties as assigned for which competency has been demonstrated

Physical requirements

This position is classified as Sedentary Work in the Dictionary of Occupational Titles, requiring the exertion of up to 10 pounds of force occasionally) up to (33% of the time) and/or a negligible amount of force frequently (33%-66% of the time) to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time.


Must be able to pass background check. We also conduct pre-employment physical and drug testing. Any job offer will be contingent upon successful completion of a pre-employment physical with a drug screen, background check and obtaining active licensures per job requirements.

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