Multi-Specialty Pro-Fee Medical Coder (ortho)
Description
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. Apply tot his job Apply To this Job