Medical Trauma Coding Specialist - REMOTE - Quadris Team LLC

Quadris Team, LLC - A Revenue Cycle Management Group, is searching for a dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Trauma Coding Specialist. We are a 100% remote team supporting our clients across the United States! See us at www.quadristeam.com.

Job Focus:

The Coding Trauma Specialist T2, is responsible for timely, accurate and comprehensive abstraction of physician services from the medical chart/record by utilizing knowledge of industry standard CPT and ICD-10 coding. Will demonstrate expert knowledge for coding complex and extreme injuries, to include the potential for a single body system or multiple body systems including head, chest abdomen and extremities. Common conditions to be coded in multiple trauma patients include head injuries, chest trauma, abdominal injuries, multiple fractures, and spinal cord damage. This individual must demonstrate a commitment to the organization's strategic plans, short- and long-term goals and mission, vision and values by representing the company in a caring and professional manner.

Primary/Essential Expectations for Success:

• Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code facility and physician professional services and diagnosis codes (inpatient admissions, surgical procedures, and/or diagnostic services)
• Follows Official Coding Guidelines and rules to assign appropriate CPT, ICD10 codes and modifiers with a minimum of 98% accuracy
• Demonstrates ability to use the MPFS Look Up Tool
• Ability to assign complex diagnoses and procedures
• Expert in resolution of NCCI PTP edits and MUE edits
• Expert in Injury Severity Coding and Emergency Medical Procedures
• Provides documentation feedback to client and or account manager
• Maintains coding reference information
• Reviews and communicates new or revised billing and coding guidelines and information with providers and their assigned specialty
• Resolves pre-accounts receivable edits. Identifies and reports repetitive documentation problems as well as system issues
• Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD10 codes and modifiers
• May collaborate with Patient Accounting, and other operational areas to provide coding reimbursement assistance; helps identify and resolve incorrect claim issues and may assist with drafting letters in order to coordinate appeals
• May work with Revenue Cycle staff and Account Inquiry Unit staff as requested, assists in obtaining documentation (notes, operative reports, etc.). Provides additional code and modifier information
• Meets established minimum coding productivity and quality standards for each encounter type based on type of service coded
• May perform other duties as assigned

Skills Needed to Be Successful:

• Maintains compliance with regulations and laws applicable to job
• Ability to communicate clearly and concisely, both in writing and verbally
• Utilizesavarietyofstrategiesorapproachestocommunicateeffectivelywithothers
• Ability to explain and manage priorities efficiently to meet deadlines and productivity demands
• Produce with exceptional overall quality of tasks performed is a must
• Perform effectively with strong emphasis on multi-tasking in a fast-paced environment
• Organize and manage work load to meet expectations of the position

Core Talent Essentials:

• High School diploma or equivalent
• Required AHIMA (RHIT, or RHIA) or AAPC (CPC, CCS, or CCS-P) Certification
• Prefer 5+ years of experience of coding experience in orthopedic surgery
• Prior experience and expertise coding complex and extreme injuries. Cases will involve the potential for a single body system or multiple body systems including head, chest abdomen and extremities. Common conditions to be coded in multiple trauma patients include head injuries, chest trauma, abdominal injuries, multiple fractures, and spinal cord damage
• Ability to work independently and within a team atmosphere
• Advanced and proficient knowledge of CPT and ICD-10
• Self-motivated and passionate about our mission and values of quality work
• Must have professional level skills in MS products such as Excel, Word, Power Point.
• Must be able to type proficiently and with an effective pace
• Proficient application of business/office standard processes and technical applications

Physical Environment:

• Prolonged periods of sitting at a desk and working on a computer
• Must be able to lift 15 pounds at one time
• Must be able to structure your home office to ensure patient information is secure meeting the regulatory expectations