Orthopedic Coder

This is a fully remote position, open to applicants in United States.

📋 Description

• Assess clinical documentation and assign diagnostic and procedural codes for professional services in accordance with official coding guidelines and payer standards.

• Accurately code assigned tickets within set deadlines to facilitate clean claim submissions and ensure proper reimbursement.

• Investigate and resolve coding situations, payer-specific edits, and inquiries related to documentation.

• Achieve daily productivity goals while maintaining high standards of coding quality.

• Report coding and documentation challenges, trends, and potential risks to the Lead Medical Coder and/or Medical Coding Manager.

• Refer complex cases or ambiguous documentation through established procedures.

• Stay updated with current coding guidelines and payer policies while ensuring required credentials remain in good standing.

• Engage in departmental meetings and continuous education initiatives.

• Broaden coding expertise into additional specialties as business needs change.

• Complete assigned cases within a 48-hour timeframe.

• Maintain a coding accuracy rate of 95% or above.

• Perform additional duties as directed by leadership.

⛳️ Requirements

• Successful completion of a coding program approved by AHIMA or AAPC, and possession of an active credential in good standing, such as CPC or CCS.

• At least 3 years of recent hands-on coding experience in physician/professional services across one or more specialties.

• Proficient understanding of anatomy and physiology, medical terminology, CPT, ICD-10-CM, modifiers, disease processes, and relevant Medicare/Medicaid policies.

• A high school diploma or equivalent is required.

• Competence in Microsoft Office applications, including Excel, Word, and Outlook.

• Capacity to multitask, prioritize workloads, and meet deadlines in a dynamic environment.

• Strong communication and interpersonal abilities.

• Comprehensive knowledge of HIPAA regulations and healthcare privacy laws.

• Exceptional attention to detail and organizational capabilities.

• Ability to work independently while also contributing effectively within a team-oriented setting.

• Proven problem-solving abilities with a proactive, solution-oriented mindset.

• CPC certification is preferred.

• An Associate’s or Bachelor’s degree is preferred.

• Familiarity with reporting and data analysis tools is preferred.

• Experience coding professional services across various specialties and service lines is preferred.

• Experience with encoder tools and queue-based workflow systems is preferred.

• Previous involvement in coding audits, denial prevention initiatives, or documentation enhancement efforts is preferred.

🏝️ Benefits

• Health insurance

• Dental insurance

• Vision insurance

• Employee assistance plan

• Paid family leave

• Short-term disability insurance

• Life insurance

• 401(k) plan with employer match

• Flexible spending accounts

• Employee discount program

• Employee referral program