Coding Specialist – Orthopedic Services

This is a fully remote position, open to applicants in New York.

📋 Description

• Review physician documentation, operative reports, and clinical records to assign the correct diagnosis and procedure codes for orthopedic services, which include office visits, imaging, physical therapy, and surgical procedures.

• Ensure compliance with federal and state regulations, payer requirements, and internal policies.

• Collaborate with providers and clinical staff to clarify documentation and enhance accuracy.

• Monitor edits, denials, and rejections, providing assistance with corrections and follow-up as necessary.

• Work alongside the billing team to resolve discrepancies and facilitate clean claim submissions.

• Keep up-to-date with coding guidelines, regulatory changes, and payer updates pertinent to orthopedic services.

• Accurately input charge data and maintain thorough, compliant documentation.

• Assist in reviewing and assigning CPT, ICD-10, and HCPCS codes based on provider documentation.

• Undertake additional responsibilities as assigned.

⛳️ Requirements

• High school diploma or GED is required; an Associate degree is preferred.

• An active coding certification (such as CPC or CCS) is required.

• A minimum of 1 year of experience in medical coding or a related field is necessary.

• Familiarity with electronic health records (EHR/EMR) and coding systems is preferred.

• Knowledge of terminology related to orthopedic, physical therapy, or podiatry is an advantage.

• Capability to work both independently and collaboratively in a fast-paced environment.

• Proficiency in Microsoft Office (Word, Excel, Outlook, Teams) is required.

🏝️ Benefits

• None specified