We believe that meaningful work starts with feeling supported. At Excelsior Orthopaedics and Buffalo Surgery Center, we're committed to providing our team members with the tools, flexibility, and resources they need to thrive both personally and professionally.
We offer a comprehensive benefits package that includes health (with employer contribution), dental, and vision coverage, employer-paid base life insurance, and a variety of voluntary benefits. Time off benefits include paid combined time off (CTO), seven paid holidays, and a floating holiday after one year of service. Retirement benefits include a 401(k) with company contribution and profit sharing after one year of service.
Medical benefits begin on the first of the month following date of hire for qualified team members. Retirement benefits are available after 90 days of employment.
In addition to our core benefits, we support our team through professional development opportunities, flexible work schedules, wellness incentives, healthy vending options, and a relaxed dress code on Fridays. Our community-focused culture encourages participation in local events, fundraisers, and causes chosen by our team.
Voluntary benefits include Short Term Disability, Long Term Disability, Critical Illness, Accident Insurance, and Supplemental Life Insurance.
Job Summary
The Coder is responsible for reviewing, interpreting, and assigning appropriate CPT, ICD-10, and HCPCS codes, ensuring compliance with federal regulations and payer policies. This position reviews operative reports for all procedures performed by Excelsior Orthopaedic Physicians for completeness and abstracts and codes 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.
Ensure coding practice meets federal and state guidelines, payer-specific requirements, and company policies.
Communicate with providers and clinical staff to ensure accurate documentation to produce accurate coding.
Monitor coding edits, denials, and rejections; assist in appeals and corrections as needed.
Collaborate with the billing team to resolve coding and reimbursement issues.
Stay current with coding guidelines, orthopedic-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; escalates 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 information necessary to complete the billing process, including patient demographics, insurance coverage, and provider charge details.
Perform supplemental responsibilities as assigned.
Requirements and Qualifications
Associate's degree preferred; HS diploma or GED required.
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification required.
Proven experience (1+ years) as a Coder or in a similar role required.
Proficiency with electronic health record (EHR/EMR) and coding software preferred.
Knowledge of orthopedic, physical therapy, or podiatry medical terminology desirable.
Ability to work independently and collaboratively in a fast-paced, team-oriented environment.
Computer skills: 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.
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