We’re Hiring at OCPN, apply today!

Please send applications to:

Reena Sarnie
ReenaS@orthocs.com

Current Openings

We are seeking experienced Charge Entry Specialists to join our team!

Charge Entry Specialist

Department: Billing
Reports to: Revenue Cycle Manager
Type of Position: Full-time
Hours: 40 hours/week, Non-Exempt

At OCPN we are dedicated to creating an environment that encourages growth. As a Charge Entry Specialist, you will add to your knowledge base as you work alongside field experts and will be part of a warm and welcoming team of people who band together to achieve success. Our team members enjoy a robust benefit package with a broad range of options including a health plan with HMO and PPO options, a dental plan, vision plan, a 401k plan, paid holidays, vacation, and sick time.

Charge Entry Specialist Responsibilities include:

  • Reviews, researches and verifies accuracy of billing data to include verifying all CPT codes and ensuring all charges are accurately entered by all providers and revise any errors.
  • Assigns modifiers when appropriate for clean claim filing.
  • Queries providers as needed to ensure accuracy.
  • Submits primary and secondary insurance claims within 48 hours of rendering service.
  • Reconciles daily claim submission though clearinghouse to ensure all claims and claim edits are correct and transmitted on to payers. Any discrepancies in claims submitted totals and claims acknowledged are noted and resolved with 24 hours of initial submission.
  • Assures compliance with applicable laws and regulations related to billing through demonstrated understanding of CPT, HCPCS and ICD-10-CM coding guidelines. Identifies any aberrant coding practices and notifies management.

Charge Entry Specialist Qualifications:

  • Full-time Monday-Friday 8am to 4:30pm
  • GED / High school graduate
  • Medical billing knowledge/experience
  • Familiarity with Medicare/Medicaid billing
  • Requires knowledge of medical coding preferably Orthopedics, Worker’s Comp and Physical/Occupational Therapy
  • Proficiency in Microsoft Office (Word/Excel/Outlook) and EMR billing systems preferably GE Centricity.

Certified Professional Orthopedic Coder

Type of Position: Full-time
Hours: 40 hours/week, Non-Exempt

General Description:
Seeking a certified coder with a strong orthopedic background as well as a working knowledge of medical billing to join our growing orthopedic practice. The position is responsible for charge entry, reviewing the accuracy of physician E&M and surgical CPT codes, as well as related ICD-10 codes; handle claim issues to include denials, edits and rejections along with the ability to perform daily audits and random medical record audits. In addition to the review of findings with managers/providers and work with the billing team on payer related issues.

Required Experience 2-4 yrs. Preferred 3-5+ yrs. Experience

Duties and Qualifications:

  • Assign ICD-10 and CPT codes accurately for Physician services
  • Reviews physician documentation to ensure accurate coding of all office and surgical procedures, assign the appropriate procedure and diagnosis codes based on current coding guidelines, The coder will verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered and assigns appropriate modifiers.
  • Demonstrates knowledge and remains current in regard to ICD’s current version, CPT codes
  • Abide by the Standards of Ethical Coding and adhere to official coding guidelines
  • Complete appropriate paperwork/documentation/system entry regarding claim/encounter information
  • Provide support, education and training related to, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards
  • Knowledge of Local Coverage Determinations and National Coverage Determinations (LCD/NCD) medical necessity requirements
  • Monitor Coding changes to ensure that most current information is available
  • Working knowledge of payer specific guidelines and/or ability to seek resolve with billing department.
  • Experience with surgery coding and E&M coding
  • Post charges accurately and submit electronic claims
  • Resolve any claim rejections, including CCI edits
  • Research inadequate documentation and rejected or denial claims
  • Query attending physicians for documentation and diagnostic clarification
  • Works with manager and physicians, providing coding guidance
  • Enters charges timely and accurately
  • Runs and works daily reports.
  • Plan, organizes, and integrates priorities and deadlines.