Podiatry Coder
Salary Range: $21.00 - $35.64 Hourly
Position Type: Full Time
Job Shift: Day
Education Level: High School
Travel Percentage: None
Coder, Podiatry
Job Summary
The Podiatry Coder is responsible for reviewing, interpreting, and assigning accurate CPT, ICD-10-CM, and HCPCS codes specific to podiatric services, while ensuring compliance with federal regulations, payer policies, and organizational standards. This role reviews provider documentation and operative reports for podiatry-related proceduresincluding office visits, surgical procedures, wound care, and ancillary servicesto abstract and code clinical data using standard classification systems.
Duties and Responsibilities
- Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day.
- Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic services, including office visits, imaging, physical therapy, and surgical procedures.
- Ensuring coding practice meets federal and state guidelines, payer-specific requirements, and company policies.
- Communicate with podiatrists and clinical staff to clarify documentation and support accurate, compliant coding.
- Monitor coding edits, denials, and rejections related to podiatry services; assist with corrections and appeals as needed.
- Collaborate with the billing team to resolve coding and reimbursement issues.
- Stay current with coding guidelines, podiatry-specific regulations, and payer updates.
- Accurately enter and itemize charge data into the billing system, ensuring completeness and adherence to internal policies.
- Assist with verifying and applying correct CPT, ICD-10, and HCPCS codes based on provider documentation; escalate complex coding issues to certified coders when needed.
- Prepare, process, and transmit insurance claims (electronic and paper) in accordance with payer requirements and deadlines.
- Collect and verify all the information necessary to complete the billing process, including patient demographics, insurance coverage, and provider charge details.
- Evolve in your role when performing supplemental responsibilities as assigned.
Qualifications
Requirements and Qualifications
- Associates degree preferred; HS diploma or GED required.
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification is required.
- Proven experience (1+ years) as a Coder or in a similar role required; experience in podiatry coding preferred.
- Demonstrated ability and understanding of an electronic health record (EHR/EMR) and coding software is preferred.
- Knowledge of orthopedic, physical therapy, or podiatry medical terminology is desirable.
- Ability to work independently and collaboratively in a fast-paced, team-oriented environment.
- Computer skills required with minimum proficiency in Microsoft Word, Excel, Outlook, and Teams.
Physical Demands
- Manual and finger dexterity and eye-hand coordination to enter data and operate office equipment
- Corrected vision and hearing within normal range to observe and communicate with patients, providers, and staff.
- Frequently remaining in a stationary position, often sitting for prolonged periods working on a computer, telephone, copy/fax machine, and other office equipment
- Occasional standing and walking required
- Occasional lifting and carrying items weighing up to 10 pounds.
The pay range for this position is determined based on several factors, including the candidate's years of experience, qualifications, training, licenses, designations, and the overall market conditions.
This job description does not state or imply that the duties and responsibilities listed are the only ones required of this position. Team members in this role will be required to perform other job-related duties at the discretion of the employer and may have additional duties assigned as necessary.
Excelsior Orthopaedics and Buffalo Surgery Center are committed to the full inclusion of all applicants. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information.