67 orthopedic surgical coder jobs found

Job Type Full-time Description Preferred: Local candidates with Arizona residency, having a good working knowledge of Arizona insurances General summary of duties: Responsible for assisting the Billing Manager with the full revenue cycle of the organization including coding, billing, charges, denials, adjustments, and reimbursements. Supervision received: Reports to Billing Manager Education: CPC certification required. BS or equivalent preferred Pay: DOE (Depending on Experience) Responsibilities include: Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines. Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding....

CHARACTERISTICS OF WORK: Abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 and CPT codes to patient records according to established procedures. MINIMUM QUALIFCATIONS: The minimum qualifications include, but are not limited to, the following: Fluent in medical terminology, experience in reading and understanding orthopedic medical records Excellent at assignment of diagnosis coding, adhering to specificity guidelines for ICD10 Efficient and effective computer skills Experience using multiple systems for coding including electronic health records, on-line coding resources and electronic coding systems Understanding and adherence to HIPAA guidelines Outstanding written and communication skills ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Additional essential functions may be identified and included as needed. The essential functions include, but are not limited to, the following: Possess...

Job Details Job Location Excelsior Orthopaedics Amherst NY - Amherst, NY Position Type Full Time Education Level High School Salary Range $19.80 - $35.64 Hourly Travel Percentage None Job Shift Day Medical Coder Come join our thriving team! *This is a hybrid position* Job Summary We are seeking an experienced Medical Coder to join our thriving orthopedic practice. The ideal candidate will have advanced knowledge of orthopedic surgical coding including spine procedures. In this role, you will be responsible for reviewing, interpreting, and coding complex surgical medical records for accurate reimbursement using ICD-10-CM, CPT, and HCPCS standards. You will review operative reports to ensure the completeness and accuracy of clinical data, as well as ensure compliance with all federal and state regulations. Duties and Responsibilities Spine and Surgical Coding Expertise: Perform detailed coding for spine surgeries and other orthopedic procedures,...

Job Details Job Location Excelsior Orthopaedics Amherst NY - Amherst, NY Position Type Full Time Education Level High School Salary Range $19.80 - $35.64 Hourly Travel Percentage None Job Shift Day Medical Coder Come join our thriving team! *This is a hybrid position* Job Summary Reviews, interprets, and codes surgical medical records for reimbursement purposes using ICD-10-CM standards. Reviews operative reports for all procedures performed by Excelsior Physicians for completeness and to abstract and code clinical data, using standard classification systems. Operates computer to process, store, and retrieve health information. Duties and Responsibilities Audits accuracy of ICD-10-CM diagnosis codes on all claims prior to submission. Audits accuracy of HCPCS and CPT codes on all procedures and services performed prior to submission. Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned...

Position Title HIM Outpatient Surgery/Ambulatory Coder -Radiology/Interventional Radiology Days - Part Time Remote Position Summary / Career Interest: The HIM Outpatient Surgery/Ambulatory Coder is responsible for reviewing outpatient/inpatient EHR. This position monitors CPT, ICD-10, and HCPCS code changes. Audits and/or assigns codes (CPT, HCPCS, and diagnosis) for professional and hospital accounts for Primary Care/Medical Specialty/Simple Procedural services from clinical documentation for accurate professional billing and facility APC assignment. The HIM Outpatient Surgery/Ambulatory Coder is a resource for the physicians and other health care providers in regard to coding and to review medical documentation to insure appropriate physician and facility coding and billing. Responsibilities and Essential Job Functions Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department. Note: These statements...

Position Title HIM Outpatient Surgery/Ambulatory Coder - Cardiovascular Remote Position Summary / Career Interest: The HIM Outpatient Surgery/Ambulatory Coder is responsible for reviewing outpatient/inpatient EHR. This position monitors CPT, ICD-10, and HCPCS code changes. Audits and/or assigns codes (CPT, HCPCS, and diagnosis) for professional and hospital accounts for Primary Care/Medical Specialty/Simple Procedural services from clinical documentation for accurate professional billing and facility APC assignment. The HIM Outpatient Surgery/Ambulatory Coder is a resource for the physicians and other health care providers in regard to coding and to review medical documentation to insure appropriate physician and facility coding and billing. Responsibilities and Essential Job Functions Reviews outpatient/inpatient EHR for appropriate documentation and signatures, and reviews interface charges prior to billing. Reviews departmental reporting structures and requests...

Job Description Job Description As the region's dedicated experts in exceptional musculoskeletal care, our doctors and staff at Lakeshore Bone & Joint Institute have served the orthopedic needs of northwest Indiana since 1968. With state-of-the-art facilities, we are dedicated to delivering the exceptional, compassionate care patients need to keep moving and keep enjoying their life. Under the supervision of the Billing Manager, the Certified Medical Coder will play a key role in reviewing and analyzing medical billing and coding for daily processing. They will review and accurately code office and hospital procedures for reimbursement. The employee will be responsible for performing annual coding audits of office visits, procedures, and surgeries Essential Functions: Review patient documents for accuracy to include but not limited to office visits, surgical, and non-surgical procedures. Ensure proper coding on provider documentation. Verify that all codes are...

Job Description Job Description Company Trajectory RCS joined the MedHQ family in 2024 after enjoying 10 years as a well-established revenue cycle company with an annual growth rate of 40% to 50% and 150 employees. Together they now serve small hospitals, physician groups, ambulatory surgery, and outpatient centers nationwide by optimizing. healthcare cash flow through integration of both business office processes and clinical documentation. MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence,...

Are you a certified Medical Coder with expertise in orthopedic surgical coding, ancillary services, and revenue cycle management? Do you thrive in a fast-paced environment ensuring accurate claim submissions and compliance with billing regulations? If so, E&B Orthopaedics wants you on our team! Responsible for CPT & ICD-10 Orthopaedic surgical coding from operative reports and E&M coding from office notes. Subspecialties include Sports Medicine, Foot & Ankle, Total joint Replacement, and Physical Therapy. Responsible for surgery charge entry and back-up to automated office charge entry, coding edits, and ongoing education with physicians. Position Title: Medical Coder Reports to: Billing Manager This position features: Generous pay and benefits including a 401k and profit-sharing plan! Key Responsibilities: Ensure accurate CPT & ICD-10 coding for orthopedic surgical, physical therapy, DME, home health, and clinical claims Correctly...

Job Description Job Description Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule.  Description: Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder’s internal coding/auditing policies and expectations set forth by department management. Physician Coding Auditor must prioritize daily duties, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals. Candidates ideally have recent auditing experience specializing in some of the following profee areas: Ophthalmology, Behavioral Health, Cardiovascular/Cardiothoracic Surgery, Complex ENT Surgery,...

Job Description Job Description Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule. Description: Physician Coder: ENT Surgery is responsible for reviewing and accurately coding all professional services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coder: ENT Surgery is expected to adhere to MedKoder’s internal coding policies and expectations set forth by department management. Physician Coder: ENT Surgery must prioritize daily duties, multitask, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals. We are currently looking for candidates with recent experience specializing in the following areas: ENT Surgery Responsibilities: Review and accurately code profee ENT Surgery cases to maximize...

Job Description Job Description Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule.   Description: Physician Coder III is responsible for reviewing and accurately coding all professional services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coder III is expected to adhere to MedKoder’s internal coding policies and expectations set forth by department management. Physician Coder III must prioritize daily duties, multitask, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals.   We are currently looking for candidates with recent experience specializing in the following areas: Plastic Surgery   Responsibilities: Review and accurately code profee Plastic Surgery cases to maximize reimbursement in a...

Hours of Work : 40 Days Of Week : Monday - Friday Work Shift : Job Description : Read and interpret medical record documentation in support of surgical procedures, office encounters, diagnostic and pathological services and assign accurate and complete CPT®, HCPCS and ICD-10 codes, as well as modifiers and units to the source document for claim submission. The coder will be responsive to provider questions by performing the necessary research into coding inquiries and follow through with written communication to educate the provider in correct coding and documentation. The coder will be assigned specialty specific work queue(s) to include Orthopedic Trauma, General Orthopedics and/or Neurosurgery. Charge Review work queues containing CPT®, HCPCS and ICD-10 codes from current patient encounters will be assigned for the coder's pre-claim review. The work queues contain charges that require a coder's astute and detailed review to determine accuracy of assigned...

CERIS is seeking a MCS Certified Coder. The MCS Certified Coder reverse code previously coded medical bills to determine coding accuracy. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim and processes based on state rules and regulations Determine validity and compensability of the claim using CorVel proprietary programs Make recommendations to referring office Communicate claim status with referring office Read and comprehend all medical reports Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties/responsibilities as assigned Comply with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program (IIPP), as well as, maintain HIPAA compliance KNOWLEDGE & SKILLS: Ability to learn rapidly to develop knowledge and understanding of claims...

Job Description Job Description We are a fast-growing orthopedic  practice seeking an experienced Medical Coder/Biller to join our dynamic team. The ideal candidate is detail-oriented, knowledgeable in medical coding guidelines, and skilled in ensuring accurate billing and timely reimbursement.   Key Responsibilities: • Assign CPT, ICD-10, and HCPCS codes for professional and/or facility services • Review documentation for accuracy and completeness • Submit claims and follow up on denials or unpaid claims • Work closely with providers and staff to resolve billing and coding issues • Ensure compliance with current coding regulations and payer requirements   Qualifications: • CPC, CCS-P, or equivalent certification required • Minimum [1-3] years of coding/billing experience (orthopedic or surgical coding preferred) • Proficient in EHR and billing software • Strong understanding of insurance guidelines and reimbursement processes • Excellent communication and...

Description Position at Western CT Health Network Inc Must reside in the following states: AZ, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, and VA. Summary: Appropriately analyzes and codes complex outpatient records. High-level expertise in coding and documentation guidelines, co-morbidity condition and major co-morbidity condition, extensive knowledge of CPT and LCD for appropriate reimbursement and compliance. Responsibilities: •Performs ICD-10-CM diagnostic and current procedural terminology procedural coding to maintain an accurate database and ensure accurate coding at minimum accuracy rate of 95%. •Competent in the utilization of an electronic medical record, and computerized coding/abstracting systems. •Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/or coding references to select diagnosis and all significant procedures, indicating the patient's...

Job Description Job Description We are looking for a experienced surgical billing specialist to join our team! Under the direction of the Billing Operation Manager the Medical Billing Specialist will play a key role in reviewing and analyzing surgical billing and coding. The role will be responsible for timely accurate review, charge capturing, compliant billing for both inpatient and outpatient services. Responsibilities: Review and accurately code office, hospital, DME and surgical procedures for reimbursement. Validate and determine appropriate coding levels by reviewing clinical documentation and operative reports. Reconciles encounters and charges tickets to ensure accurate charge capturing. Follow up on missing charge tickets and clinical documentation as appropriate. Ensures that documentation supports charges to prevent denials and underpayments. Timely reconciliation and billing of charges as assigned. Other billing duties as assigned by management....

Job Description Job Description Medical Coder Full Time – 8:30A-4:30P Surgeons Choice Medical Center is a patient centered health care facility and physician owned destination of care focusing on all hand, joint, orthopedic and sports medicine. In 2004, in an ambitious push to bring hospitality back to the hospital, a small group of top Metro-Detroit surgeons decided to create their own surgical hospital; one that provided patients with the best possible care in a small, easy-to-manage environment that truly embraces the best patient experience. We have since become the premier center of choice with 30 surgical beds, 26 rehabilitation beds, and 6 operating rooms. Surgeons Choice Medical Center has an exciting opportunity for an Onsite Medical Coder. An ideal candidate has a passion to serve people to improve their quality of life and empower them on their health journey. Perks for our staff: ● Competitive hourly pay ● NO WEEKENDS, HOLIDAYS OR ON-CALL! ●...

Job Description Job Description Position Summary The Medical Biller and Coder will be responsible for accurately coding all provider encounters, including surgeries and in-office procedures, while playing an important role in the revenue cycle process. The role demands advanced knowledge of orthopedic surgical coding , payer rules (especially Medicare and PPO ), and E/M documentation guidelines. Key Responsibilities Accurately assign ICD-10, CPT, and HCPCS Level II codes for: Total Joint Arthroplasty Arthroscopic Surgeries Spine Procedures (e.g., laminectomies, fusions) Foot & Ankle and Hand Surgeries Sports Medicine Procedures Ultrasound- or Fluoroscopy-guided injections In-office minor procedures Apply correct modifiers and ensure coding aligns with NCCI edits , payer-specific rules, and Medicare LCD/NCD guidelines . Collaborate with surgeons and providers to resolve documentation discrepancies. Submit and manage claims through NextGen ,...