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Orthopedic Coder Jobs in Massachusetts (NOW HIRING)

New England Baptist Hospital

$108K - $147K/yr

Complies with all New England Baptist Hospital policies and the Code of Excellence. Maintains a safe and clean work environment. 3. Assists Orthopedic Surgeons in surgery: * Responsible for knowledge ...

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Orthopedic Coder information

What is an orthopedic coder?

Orthopedic coders are specialized medical coding professionals who assign standardized codes to diagnoses, procedures, and treatments related to orthopedic care, such as surgeries, fractures, and joint replacements. They use coding systems like ICD-10-CM, CPT, and HCPCS to ensure accurate billing and proper reimbursement for healthcare providers. Orthopedic coders must have a strong understanding of musculoskeletal anatomy and common orthopedic procedures, as well as up-to-date knowledge of relevant coding guidelines. Their work helps reduce claim denials and supports compliance with regulations.

What does an orthopedic coder do?

Orthopedic coders have similar job duties as other medical coders, but they work specifically with orthopedic surgeons or other orthopedic specialists. As an orthopedic coder, you review physician recommendations for treatments to ensure they are accurate, match the correct billing code to all surgical and non-surgical procedures, and submit the documentation to the insurance company or other departments that require the information. You may also be responsible for ensuring that patient records are current and address any discrepancies you find. Many orthopedic coders start their careers in a general medical practice or facility before moving to a specialty office, such as orthopedics.

What are the key skills and qualifications needed to thrive as an orthopedic coder?

To thrive as an Orthopedic Coder, you need a thorough understanding of medical coding systems (such as ICD-10-CM, CPT, and HCPCS), anatomy, and orthopedic procedures, typically supported by a coding certification like CPC, CCS, or specialty credentials. Familiarity with electronic health records (EHRs), coding software, and medical billing systems is essential for efficiency and accuracy. Attention to detail, analytical thinking, and strong communication skills help coders interpret complex documentation and collaborate with healthcare teams. These skills ensure proper reimbursement, compliance with regulations, and accurate patient records, which are critical for healthcare operations.

What are some common challenges faced by orthopedic coders in ensuring accurate documentation and coding?

Orthopedic coders often face challenges such as interpreting complex operative reports, keeping up with frequent updates to coding guidelines, and distinguishing between similar procedures or diagnoses. Accurately coding for procedures like joint replacements or fracture repairs requires careful attention to detail and close collaboration with orthopedic surgeons to clarify documentation. Maintaining compliance with payer requirements and preventing denials also adds to the complexity, making continuous education and strong communication skills essential for success in this role.
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Orthopedic Coder jobs near you
Infographic showing various Orthopedic Coder job openings in Massachusetts as of August 2026, with employment types broken down into 85% Full Time, 10% Part Time, and 5% Contract. Highlights an 82% In-person, and 18% Remote job distribution.

Orthopedic Testing & Outgoing Referral Representative

Cape Cod Orthopedics and Sports Medicine

Hyannis, MA • On-site

$20 - $22/hr

Full-time

Re-posted 7 days ago

Job description

Job Title: Orthopedic Testing & Outgoing Referral Position Type: Non-Exempt, Full Time, OnsiteLocation: Hyannis, MACape Cod Orthopaedic and Sports Medicine (CCOSM) is a privately owned, growing practice with locations in Hyannis, Sandwich and Falmouth, Massachusetts. Our mission is to excel in all aspects of orthopedic, physical therapy, to ethically and professionally serve our patients, and to promote lasting recovery and health. We respect the dignity and diversity of all individuals and maintain a commitment to honesty, integrity, and unquestionable ethics in our interactions with patients, their families, our employees, other professionals and members of the community. We endeavor to establish and maintain a safe, accessible, and aesthetically pleasing environment of care that enhances the dignity of individuals and ensures the safety of patients, staff, and visitors. Job Responsibilities:Patient Coordination & CommunicationServe as a liaison between patients, orthopedic providers, diagnostic facilities, and insurance companies.Communicate testing instructions, appointment details, and follow-up plans clearly to patients.Answer patient questions related to testing or referral processes.Outgoing Referral ManagementEnsure timely submission of referral paperwork and documentation.Track referral status and follow up with providers to confirm patient appointments are scheduled.Diagnostic Testing CoordinationSchedule and coordinate diagnostic tests such as MRIs, CT scans, X-rays, bone scans, EMGs, or ultrasounds.Verify test orders with physicians and ensure the correct testing protocols are followed.Communicate with radiology/imaging centers to arrange appointments and ensure timely results.Insurance & AuthorizationObtain insurance pre-authorizations or approvals for tests and referrals when required.Ensure all procedures comply with insurance guidelines to avoid claim denials.Communicate with insurance companies regarding coverage, billing codes, and documentation needs.Documentation & EMR ManagementEnter all referrals, test orders, results, and communication notes into the Electronic Medical Record (EMR) system accurately.Track and follow up on outstanding test results or referral reports.Maintain confidentiality and compliance with HIPAA regulations.Team CollaborationWork closely with orthopedic surgeons, physician assistants, and medical assistants to ensure seamless patient care.Participate in staff meetings and workflow improvement initiatives.Key Skills Required:Strong knowledge of orthopedic terminology and proceduresFamiliarity with diagnostic imaging processesExcellent communication and interpersonal skillsProficiency with EMR systems (eClinicalWorks/Epic)Understanding of medical insurance and referral processesStrong attention to detail and organizational skillsEmployment is contingent upon on background check and drug screening.