Medical Coder – Wound Care (Long -Term Care)
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About Us<\/b>
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Pinnacle Wound Management is a physician -led wound care provider dedicated to improving healing outcomes for patients in skilled nursing and long -term care facilities. We partner with facilities to deliver advanced wound care at the bedside, supported by thorough documentation, EMR integration, and compliance with payer guidelines.
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We are seeking a Medical Coder<\/b> with wound care experience to join our team. This role is critical in ensuring timely, accurate coding and billing for patient encounters and cellular tissue product usage across multiple facilities.
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Key Responsibilities
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• Accurately review and code wound care services performed in long -term care and post -acute settings, ensuring compliance with ICD -10, CPT, HCPCS, and payer requirements
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• Code independently without reliance on a provider superbill<\/b>, using clinical notes and documentation as the source of truth
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• Release daily coding batches to support timely revenue cycle processing
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• Code red -label (cellular tissue) products<\/b> and ensure proper documentation of lot numbers and graft application details
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• Assist and work closely with the billing team to correct coding errors<\/b> and resolve claim rejections/denials
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• Generate detailed coding reports and batch logs<\/b> for submission to the Director of Operations<\/b>
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• Collaborate with the billing and operations teams to reconcile coding discrepancies and ensure compliance
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• Monitor payer and CMS updates impacting wound care coding, documentation, and compliance
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• Maintain coding accuracy, productivity standards, and adherence to compliance regulations
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  Qualifications
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  • Certification strongly preferred: CPC (Certified Professional Coder), CCS, or equivalent<\/b>
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  • Minimum 2 years of experience in medical coding; wound care or long -term care experience highly preferred
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  • Strong knowledge of ICD -10, CPT, and HCPCS coding guidelines
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  • Ability to code directly from clinical notes/documentation without superbill support
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  • Experience coding cellular tissue/red -label products a plus
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  • Proficient in generating coding reports, logs, and error correction documentation
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  • Detail -oriented with excellent organizational skills and ability to manage coding batches daily
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  • Comfortable working independently with minimal supervision
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    What We Offer
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    • Competitive compensation package
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    • Opportunity to specialize in wound care and advanced procedures in the long -term care space
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    • Supportive team environment focused on compliance and patient -centered outcomes
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