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163 (COSC) Certified Orthopedic Surgery Coder jobs

Experienced orthopedic coders are encouraged to sit for the COSC™ exam. COSC certification endorses proficiency in coding orthopedic procedures, including ACL reconstruction, joint, fusion, joint replacements, diskectomy, laminectomy, etc.

The COSC certification exam will test:

  • Ability to read and abstract physician office notes and operative notes to apply correct ICD-10-CM, CPT®, HCPCS Level II, and modifier coding assignments
  • Application of CPT® evaluation and management (E/M) guidelines
  • Rules and regulations for Medicare billing — including incident to, teaching situations, shared visits, consultations, and global surgery
  • Coding of surgical procedures performed by orthopedists such as arthroscopic surgeries, fracture repairs, spine surgeries, etc.
  • Medical terminology
  • Anatomy and physiology
Children's Orthopaedic and Scoliosis Surgery Assoc
Full Time
 
Medical Billing Specialist – Insurance A/R & Denials
Children's Orthopaedic and Scoliosis Surgery Assoc Hybrid (St. Petersburg, FL)
Children’s Orthopaedic and Scoliosis Surgery Associates, LLP (COSSA) is seeking an experienced Medical Billing Specialist to join our pediatric orthopaedic practice. This position focuses on insurance accounts receivable, denial resolution, and obtaining accurate, timely payment for physician services. You will work independently on assigned accounts, with support from an established billing team. We value people who investigate problems, follow through, share knowledge, and help prevent recurring billing issues. Responsibilities Research and resolve outstanding insurance balances using payer portals and direct communication with insurance representatives. Review electronic claim rejections and denials, determine the appropriate corrective action, and submit corrected claims, reconsiderations, and appeals. Investigate underpayments using payer policies, contracts, and fee schedules. Prepare appeal letters supported by relevant...

Oct 12, 2026
Healthcare Coding & Consulting Services (HCCS)
Full Time
 
Pro Clinic Coder
Healthcare Coding & Consulting Services (HCCS) Remote
Healthcare Coding and Consulting Services (HCCS) is a family-owned, U.S.-based medical coding company currently hiring experienced, certified Pro Clinic coders for fully remote, full-time positions supporting specialties in Rural Health Clinics (RHC), Family Medicine, Internal Medicine, Orthopedic, Behavioral Health, and Oncology . At HCCS, we are committed to long-term employment and career stability. We do not offer short-term, contract, or project-based work. All team members are direct-hire W-2 employees with consistent workloads and full benefits. We also do not offshore any coding services — all HCCS coders are U.S.-based, ensuring strong compliance, communication, and provider support. We intentionally match coders to specialties they are experienced in, allowing them to work confidently and consistently within familiar chart types. Our Coding and Scheduling Managers actively support coders with workflow, quality, and productivity, creating a collaborative...

Aug 14, 2026
AAPC
Contract
 
Multi-Specialty Professional Coder - Contractor
AAPC Remote
AAPC is seeking a highly motivated and dedicated coding professional to join our team as a Contract Coder. This position is a fully remote contract role. The ideal candidate must have at least 5 years of coding experience for physician practices, with various surgical specialties as well as E/M. The position requires one to be resourceful, organized, and extremely driven. The ideal candidate will possess the following: Minimum 5 years of coding experience Extensive coding in multiple specialties including: all primary care specialties, anesthesia, general surgery, dermatology, and orthopedics. Excellent written and verbal communication skills Detail oriented and deadline driven attitude Sound knowledge of medical terminology Strong computer skills (Excel, Word, and internet) Ability to multitask and keep a sense of urgency Excellent customer service skills Strong time management, organization skills, and work ethic Job Duties:...

Oct 09, 2023
BH
Remote Specialty Coder I – Outpatient & Surgery
BHS Central City, KY
Baptist Health Medical Group is seeking a Specialty Coder I for a remote position requiring residency in KY or IN. Under supervision, you will code diagnoses and procedures for outpatient physician charges, including E/M levels and in-office procedures across multiple settings. Qualifications include a High School diploma and CPC or CCS-P certification, with 1 year of Specialty/Surgical Coding experience. Preferred: 2+ years of professional coding experience. #J-18808-Ljbffr

Nov 05, 2026
CS
Hospital Surgery Observation Coder
CommonSpirit Health Greenwood Village, CO
Job Summary and Responsibilities As our Hospital Surgery/Observation Coder, you will code and abstract outpatient records for data retrieval, analysis, reimbursement, and research, bringing your unique talents to our supportive team. Every day you will meticulously code and enter diagnostic and procedure codes into a designated system using the 3M encoder, navigate the EMR efficiently, and ensure all coding meets quality and productivity standards across all facilities. To be successful in this role, you will possess advanced coding expertise, a strong understanding of diagnostic and procedure codes (especially for surgery/observation), meticulous attention to detail, and the ability to meet high productivity and quality standards while working collaboratively in a fast-paced environment. Primary coding consists of Hospital OP Surgeries and/or Observation services. Accurately assigns codes from the current Coding and Indexing systems for surgical and...

Nov 05, 2026
Sa
Same Day Surgery / Observations Coder / ED Coder
Savista Clifton, TX
Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Code Same Day Surgery, Observations & ED with injections & infusions with some recurring records. Two (2) years of recent and relevant hands-on coding experience, including assignment of CPT code. Requires active CCS, CCS-P, RHIT or RHIA credential. SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected...

Nov 05, 2026
In
Senior Orthopedic Surgery Coder / QA Specialist
Infinx Salem, OR
About Our Company About Our Company:At Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups.We're looking for experienced associates and partners with expertise in areas that align with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing revenue. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard.A 2025 Great Place to Work ®In 2025, Infinx was certified as a Great Place to Work ® in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth...

Nov 05, 2026
In
Outpatient Surgery Coder
Infinx Salem, OR
About Our Company At Infinx, we're a fast-growing company focused on delivering innovative technology solutions to meet our clients' needs. We partner with healthcare providers to leverage automation and intelligence, overcoming revenue cycle challenges and improving reimbursements for patient care. Our clients include physician groups, hospitals, pharmacies, and dental groups. We're looking for experienced associates and partners with expertise in areas that align with our clients' needs. We value individuals who are passionate about helping others, solving challenges, and improving patient care while maximizing revenue. Diversity and inclusivity are central to our values, fostering a workplace where everyone feels valued and heard. A 2025 Great Place to Work In 2025, Infinx was certified as a Great Place to Work in both the U.S. and India, underscoring our commitment to fostering a high-trust, high-performance workplace culture. This marks the fourth consecutive year that Infinx...

Nov 05, 2026
In
Remote Outpatient Surgery Coder AHIMA Certified
Infinx Salem, OR
Infinx is seeking an Outpatient Surgery Coder to accurately abstract outpatient surgeries across specialties from medical records using ICD-10-CM/ICD-10 coding guidelines. This remote role emphasizes timely, high-quality coding within a supportive, high-trust environment. Requirements include AHIMA or AAPC certification, 2+ years outpatient surgery coding experience, and proficiency with Epic. You will collaborate with teams to ensure accurate reimbursements and coding quality. #J-18808-Ljbffr

Nov 05, 2026
Nf
Medical Coding Specialist - General Surgery
Nflsurgeons Jacksonville, FL
Overview North Florida Surgeons is a leading healthcare provider committed to delivering exceptional patient care and service. We have over 300 medical providers and physician extenders and are currently seeking a detail-oriented and motivated Medical Coding Specialist to support our revenue cycle department. This role is essential in ensuring accurate coding for services rendered, which directly impacts reimbursement and compliance. The Medical Coder is responsible for reviewing clinical documentation and assigning appropriate ICD‑10, CPT, and HCPCS codes for billing and reimbursement. This position works closely with providers, billing staff, and insurance companies to ensure coding accuracy and compliance with federal regulations. Key Responsibilities Review medical records and documentation to assign accurate diagnosis and procedure codes Responsible for coding office visits and surgeries Collaborate between clinical, billing and patient services departments to...

Nov 05, 2026
Da
Remote Outpatient Coder - Surgery & Observation
Datavant Boise, ID
Datavant seeks an experienced outpatient coder for a fully remote, flexible role. You will review medical records, assign CPT/ICD codes, and support precertification reviews, with EPIC and 3M/Solventum experience preferred. The ideal candidate has 2+ years of hospital coding and AHIMA or AAPC credentials. Join a team that values accuracy, compliance, and professional development, while enjoying a fully remote schedule and ongoing education opportunities. #J-18808-Ljbffr

Nov 05, 2026
Da
Remote Outpatient Coder - Surgery & Observation
Datavant United States
Datavant seeks an experienced outpatient coder for a fully remote, flexible role. You will review medical records, assign CPT/ICD codes, and support precertification reviews, with EPIC and 3M/Solventum experience preferred. The ideal candidate has 2+ years of hospital coding and AHIMA or AAPC credentials. Join a team that values accuracy, compliance, and professional development, while enjoying a fully remote schedule and ongoing education opportunities. #J-18808-Ljbffr

Nov 05, 2026
MH
Coder II - Ambulatory Surgery
MaineHealth Scarborough, ME
Description Professional - Nonclinical (100% remote) Req #: 91784 Summary: The Coder II - Ambulatory Surgery role is responsible for the accurate assignment of ICD and CPT coding of diagnoses and procedures for outpatient medical records in the Ambulatory Surgery setting of a Level 1 Trauma Facility and Teaching Hospital. This position performs complex surgical coding in support of specialty or multi-specialty physician practices and OPPS and CAH hospitals. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Associate's Degree in a science field preferred with completion of an accredited program through AHIMA or AAPC. License/Certifications: RHIT, RHIA, CCS, CCA, CPC, CPC-H, CASCC or CIRCC credential required. Experience: Two years of multi-specialty, preferably surgical coding experience, with CPT/ICD-CM/HCPCS/modifier coding for physician professional charges and a minimum of two years of experience in an acute care facility as a Clinical...

Nov 05, 2026
MM
Coder II - Ambulatory Surgery
Maine Medical Center Scarborough, ME
Description Professional - Nonclinical Req #: 95203 Summary: The Coder II - Ambulatory Surgery role is responsible for the accurate assignment of ICD and CPT coding of diagnoses and procedures for outpatient medical records in the Ambulatory Surgery setting of a Level 1 Trauma Facility and Teaching Hospital. This position performs complex surgical coding in support of specialty or multi-specialty physician practices and OPPS and CAH hospitals. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Associate's Degree in a science field preferred with completion of an accredited program through AHIMA or AAPC. License/Certifications: RHIT, RHIA, CCS, CCA, CPC, CPC-H, CASCC or CIRCC credential required. Experience: Two years of multi-specialty, preferably surgical coding experience, with CPT/ICD-CM/HCPCS/modifier coding for physician professional charges and a minimum of two years of experience in an acute care facility as a Clinical Coder II or...

Nov 05, 2026
di
Medical Coder - Same Day Surgery | Eden Prairie, Minnesota | Remote
divvyDOSE United States
Outpatient Coding Specialist Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities Expert knowledge in all facility outpatient coding types: Same Day...

Nov 05, 2026
GB
Coder III - Surgery, Observation, and Inpatient Accounts
Greater Baltimore Medical Center (GBMC) Baltimore, MD
Under general supervision, collects data by abstracting, assessing and analyzing demographic and clinical information to accurately assign the appropriate ICD-10-CMcodes and CPT codes. Education: Associates Degree preferred. Experience: At least 3 years of CPT and ICD-10-CM coding experience with certification. 3 years of radiology/interventional radiology coding and charging experience preferred. Knowledge of specialty coding including wound care. Other combinations of formal education, training and experience may be considered. Skills: Knowledge of medical terminology and anatomy and physiology Knowledge in all aspects of Radiology and Interventional Radiology and wound care coding Knowledge of coding guidelines as set forth by Official Coding Guidelines, Coding Clinic. Ability to keep current with recent trends within the industry Skill in using computers and software applications Ability to interpret medical terminology in order to code records...

Nov 05, 2026
GI
Coder III - Surgery, Observation, and Inpatient Accounts
GILCHRIST Baltimore, MD
Coding Specialist Under general supervision, collects data by abstracting, assessing and analyzing demographic and clinical information to accurately assign the appropriate ICD-10-CM codes and CPT codes. Education: Associates Degree preferred. Experience: At least 3 years of CPT and ICD-10-CM coding experience with certification. 3 years of radiology/interventional radiology coding and charging experience preferred. Knowledge of specialty coding including wound care. Other combinations of formal education, training and experience may be considered. Skills: Knowledge of medical terminology and anatomy and physiology Knowledge in all aspects of Radiology and Interventional Radiology and wound care coding Knowledge of coding guidelines as set forth by Official Coding Guidelines, Coding Clinic. Ability to keep current with recent trends within the industry Skill in using computers and software applications Ability to interpret medical terminology in...

Nov 05, 2026
RM
Medical Coder - Same Day Surgery | Eden Prairie, Minnesota | Remote
Reliant Medical Group United States
Outpatient Coding Specialist Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities Expert knowledge in all facility outpatient coding types: Same Day...

Nov 05, 2026
VV
Certified Outpatient Surgery Coder
Virtual Vocations Inc United States
To support a growing team, the full-time Certified Outpatient Surgery Coder will provide CPT, HCPCS, and ICD-10-CM coding for various specialties, ensuring accurate code assignment and compliance while working remotely. Key responsibilities Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT, and HCPCS for outpatient surgery and observation cases Calculate Facility E/M levels and recognize critical care cases based on patient acuity Maintain compliance with coding guidelines and company policies while participating in ongoing training and education Required qualifications Certification through AAPC (CPC or COC) or AHIMA (CCS or CCS-P) is mandatory Minimum of 1 year of experience in outpatient surgery and observations facility coding Experience with E&M, injections/infusions, and emergency department coding is a plus Proficient in Microsoft Excel and Outlook, with a solid understanding of EMR and billing systems Ability to maintain a...

Nov 05, 2026
WU
Certified Coder (Remote) - Surgery
Washington University in St. Louis United States
Location: Remote, US Scheduled Hours: 40 Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Primary Duties & Responsibilities Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working Conditions Job Location/Working...

Nov 05, 2026
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