Multi-Specialty Pro-Fee Medical Coder (ortho)

Description

About the Role We are seeking highly experienced Orthopedic Medical Coders with current expertise in orthopedic coding to support a dynamic healthcare organization. This role requires coders who are actively coding orthopedics on a regular basis.

The ideal candidate will be fully up to date on current orthopedic coding guidelines and comfortable providing coding feedback and education to orthopedic providers, particularly regarding bundling/unbundling rules, modifier usage, and coding compliance.

Key Responsibilities

Charge Review Work Queues

· Review provider-submitted coding in EPIC against clinical documentation

· Resolve EPIC edits and recommend coding corrections to departments

Claim Edit Work Queues

· Review provider-submitted coding and address clearinghouse rejections and claim edits

· Recommend appropriate coding corrections based on documentation

Follow-Up Work Queues

· Review post-bill denials and payer edits

· Analyze documentation and recommend coding updates to resolve issues

Additional responsibilities include:

· Reviewing documentation to ensure coding accuracy and compliance

· Working billing and coding edits, denials, and payer requirements

· Providing coding guidance and feedback to orthopedic providers and departments

Requirements

· Minimum 5 years of active, ongoing orthopedic coding experience

· Current CPC (AAPC) or equivalent certification through AAPC or AHIMA

· Extensive experience coding orthopedic services in POS 11, 21, and 22

· Experience coding in-office procedures and orthopedic surgeries

· Strong knowledge of billing edits, clearinghouse edits, and payer denials

· Comfortable providing coding feedback and education to providers

Preferred Qualifications

· CEMC certification

· Experience with EPIC

· Experience with Medicaid of California guidelines

· Multi-specialty coding background

Orthopedic Coding Expertise Required Candidates must demonstrate strong experience coding:

· Spinal injections / pain management procedures

· Open fracture repair

· Hand surgery, fracture care, and tendon repairs

· Carpal tunnel release

· Hardware removal procedures

· Neuroplasty

· Arthroscopy (shoulder, knee, hip)

· Arthroplasty (shoulder, knee, hip)

· Joint repairs

Why Join Us

· Remote work opportunity

· Work with a collaborative and highly specialized team

· Full suite of benefits for full-time employees

· Free CEU opportunities

· All equipment supplied

Apply Today

If you are an experienced Orthopedic Coder actively coding orthopedics and looking for your next remote opportunity, we encourage you to apply today.