Description
About the Role: We are seeking highly experienced Orthopedic Medical Coders with current, hands-on orthopedic coding expertise and a strong multi-specialty coding background to support a dynamic healthcare organization. Candidates must be actively coding orthopedic services on a regular basis and remain current with all orthopedic coding guidelines and industry updates.
The ideal candidate will have extensive knowledge of multi-specialty and ortho coding principles, including bundling and unbundling rules, modifier usage, and compliance requirements. In addition to coding responsibilities, this role requires the ability to provide coding feedback, education, and documentation guidance to providers. Flexible schedules are available, with opportunities to work 10, 20, or 30 hours per week.
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
- Multi-specialty experience in at least 3 specialties not related to ortho
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
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.