Coding Consultant- Ortho/Neurosurgery, HYBRID

Roanoke, VA, US, 24011

Employment Status:  Full time
Shift:  Day
Facility:  CASB - Carilion Administrative Services Building
Requisition Number:  90306

Job Summary

Welcome to a promising future with this unique career opportunituy. At Carilion Clinic, our team provides accurate medical record documentation in a forward-thinking environment.


You will thrive through extensive training, supportive leaders and potential for advancement. Carilion offers comprehensive benefits, paid time off, and tuition options. Join a team where your skills and ideas will make a difference in the health of our patients and the communities we live in.

M-F 8-430 FT position. Must have experience with surgical coding,and must have CPC certification.  Orthopedics and Neurosurgery coding experience a huge plus! Some part time remote work possible after training on site.

The Coding Consultant consults with physicians and their practices on Coding protocols and issues to ensure coding reflects all services rendered to ensure maximum reimbursement. Provides Coding education to physicians and staff.  Performs audit reviews of practice coding/billing process and/or performs concurrent coding of specific practices. Identifies denial trends and corrects issues to achieve minimal practice denials.

 

The primary job responsibilities of the coding consultant include, but are not limited to, the following:

 

  • Consults with physicians to identify ICD-10-CM, CPT, HCPCS codes and how and when to use them. Ensures that coding reflects all services rendered for maximum reimbursement. Helps in the process of verifying all ICD-10, CPT, and HCPCS codes to all procedures and sequences codes according to coding guidelines. Establishes guidelines for which codes can be changed by the staff without specific physician approval.
  • Periodically assesses coding needs and coding training and information needs. Provides coding information, seminars and/or workshops to educate physicians and staff. Provides information on coding changes and insurance coding updates on a regular basis.
  • Keeps up to date with current coding guidelines, changes and billing procedures by reading and attending appropriate seminars. Obtains all documents and other resources needed for coding procedures within the physician practices. Works with management and others to update encounter forms and coding tools utilized in the practices.
  • Acts as a Coding information expert and resource to answer questions and advise physicians and others.
  • Works with other Coding Consultants and management to establish internal Coding quality control and audit processes. Performs random and regular reviews of different parts of the billing process and specific types of billing, such as pre-bill E/M reviews, concurrent coding of surgical procedures, payor requested audits, RAC audit reviews, and retrieving documentation for 3rd party payors by ROI process with feedback to the physicians and others. Reviews denials for the practices to trend and correct issues. Will be held accountable for the reduction of the practices denials.

Minimum Qualifications

Education: High School Degree required. College degree preferred.  Medical terminology and Physiology & Anatomy required.

Experience: Three years coding experience required.  Physician’s office experience preferred.

Must have applicable experience in building relationships and interacting with physicians.

Licensure, certification, and/or registration: CPC or CCS-P required.

Other Minimum Qualifications: Effective oral and written communication skills. Must be a team player with intiative, organizational skills, analytical abilities, detail oriented and have the ability to work independently. Maintains working knowledge of Epic, Coding Software and any other software that are needed to perform job duties.  Must be proficient with Word, Excel, Power Point and researching the web for coding and billing information.

 

Our Values

Below are our core values that we strive to embody and expect of all our team members:

CommUNITY:  Working in unison to serve our community, our Carilion family and our loved ones.

Courage:  Doing what’s right for our patients without question.

Commitment:  Unwavering in our quest for exceptional quality and service.

Compassion:  Putting heart into everything we do.

Curiosity:  Fostering creativity and innovation in our pursuit of excellence.

 

 


Requisition Number: 90306 
Employment Status: Full time 
Location: CASB - Carilion Administrative Services Building 
Shift: Day 
Shift Details: M-F 8-430
Recruiter Email: kagonce@carilionclinic.org
For more information, contact the HR Service Center at 1-800-599-2537.

This is Carilion Clinic ...

An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award winning
hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

Equal Opportunity Employer

Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity

Carilion Clinic is a drug-free workplace.

 

Carilion Total Rewards

What matters to you is important to us—like benefits, rewards, and resources to improve your life. Carilion understands the importance of prioritizing your well-being to help you develop and thrive. When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:

  • Employer Funded Pension Plan, vested after five years (Voluntary 403B)
  • Comprehensive Medical, Dental, & Vision Benefits
  • Flexible Work Arrangements/Schedules
  • Remote Work Options
  • Paid Time Off (accrued from day one)
  • Onsite fitness studios and discounts to our Carilion Wellness centers
  • Access to our health and wellness app, Virgin Pulse
  • Discounts on childcare
  • Continued education and training

Find more about Carilion Clinic’s benefits by vising our Total Rewards Page.


Equal Opportunity Employer
Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity
Carilion Clinic is a drug-free workplace.


Nearest Major Market: Roanoke

Job Segment: Medical Coding, EMR, Home Care, QC, ICU, Healthcare, Quality