Multi-Specialty Pro-Fee Medical Coder (ortho)

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.