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Orthopedic Coding Jobs (NOW HIRING)

Carilion Clinic

Invasive Coding Analyst - Ortho

Roanoke, VA · On-site

$23.23 - $32.52/hr

R159966 Invasive Coding Analyst - Ortho (Open) How You'll Help Transform Healthcare: The Invasive Coding Analyst identifies and analyzes denials, determines solutions and implements corrections to ...

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Orthopedic Coding information

What is orthopedic coding?

Orthopedic coding is the process of translating medical diagnoses, procedures, and services related to the musculoskeletal system into standardized codes, such as ICD-10-CM, CPT, and HCPCS. These codes are used for billing, insurance claims, and data collection in healthcare settings. Orthopedic coders must be familiar with anatomy, medical terminology, and the specific procedures performed by orthopedic specialists. Proper coding ensures accurate reimbursement and helps maintain compliance with healthcare regulations.

What are the key skills and qualifications needed to thrive as an orthopedic coder, and why are they important?

To thrive as an Orthopedic Coder, you need a strong understanding of medical terminology, anatomy—especially musculoskeletal systems—and knowledge of ICD-10, CPT, and HCPCS coding, often supported by a coding certification such as CPC or CCS. Proficiency with electronic health record (EHR) systems, coding software, and familiarity with payer guidelines is essential. Attention to detail, analytical thinking, and effective communication are critical soft skills for interpreting complex documentation and collaborating with healthcare providers. These skills ensure accurate coding, compliance with regulations, and optimized reimbursement for orthopedic services.

What are some common challenges faced by professionals in orthopedic coding, and how can they be addressed?

Professionals in orthopedic coding often encounter challenges such as keeping up with frequent updates to CPT and ICD-10 codes, accurately interpreting complex operative reports, and ensuring documentation supports billed procedures. To address these challenges, ongoing education and regular attendance at coding workshops or webinars are essential. Collaboration with orthopedic physicians and clinical staff also helps clarify documentation and reduce coding errors, leading to improved claim approvals and compliance.

What is the difference between Orthopedic Coding vs Physical Therapy Coding?

AspectOrthopedic CodingPhysical Therapy Coding
CredentialsCertified Professional Coder (CPC), Certified Orthopedic Coder (COC)Same certifications, often CPC or specialized physical therapy coding credentials
Work EnvironmentHospitals, orthopedic clinics, outpatient surgery centersRehabilitation centers, outpatient clinics, hospitals
Industry UsageUsed for billing orthopedic procedures, surgeries, and diagnosesUsed for billing physical therapy treatments and modalities
Search & Comparison IntentOften compared due to overlapping coding skills in musculoskeletal care

Orthopedic Coding and Physical Therapy Coding share similar certification requirements and work environments, but they focus on different aspects of musculoskeletal care. Orthopedic Coding specializes in billing for orthopedic surgeries and diagnoses, while Physical Therapy Coding centers on outpatient therapy treatments. Both roles require strong knowledge of medical coding standards and are essential in healthcare billing processes.

How much do orthopedic coders make?

Orthopedic coders typically earn between $45,000 and $70,000 annually, depending on experience, certification, and location. Those with advanced credentials and specialized knowledge of musculoskeletal procedures can earn higher salaries, especially in healthcare settings with complex coding requirements.
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Orthopedic Coding jobs near you
Infographic showing various Orthopedic Coding job openings in the United States as of September 2026, with employment types broken down into 2% Internship, 1% As Needed, 83% Full Time, 10% Part Time, and 4% Contract. Highlights an 75% Physical, 4% Hybrid, and 21% Remote job distribution.

Front Office Manager--Physical Therapy

Aurora, IL • On-site

Genesis Orthopedics & Sports Medicine
Health Care and Social Assistance • 1 - 10 employees
Learn more about Genesis Orthopedics & Sports Medicineexternal

Full-time

Re-posted 8 days ago

Job description

Front Office Manager--Physical Therapy

Hybrid/Full-time

Join Our Mission at Genesis Orthopedics & Sports Medicine!

At Genesis Orthopedics & Sports Medicine, we believe high-quality orthopedic care should be accessible to all-not just those who can afford it. After 17 years of conventional practice, we took a step back, challenged the status quo, and reimagined healthcare delivery. Over four years, through hundreds of hours of research, global case studies, and bold innovation, we developed a new model that maintains our reputation for exceptional care while making our services more ethical and affordable.

Key Responsibilities 

  • Operations & Oversight
    • Daily Oversight of all administrative and front desk tasking for 6 outpatient Physical Therapy clinics
    • Review and validate all contractual adjustments and ensure accuracy in claim posting and payer compliance.
    • Download and allocate new accounts to analysts from multiple EPIC workqueues based on payer, aging, and priority.
    • Audit processed claims for accuracy, completeness, and timeliness before submission or follow-up.
    • Perform quality checks and ensure analysts follow correct claim handling procedures.
    • Conduct daily and weekly performance reviews, tracking productivity and accuracy metrics.
  • Team Management
    • Lead and support a team of claims analysts, providing guidance, performance feedback, and escalation support.
    • Review and summarize EOD (End of Day) and EOW (End of Week) reports to evaluate team output and resolve discrepancies.
    • Manage task assignments, track turnaround times, and balance workloads across analysts.
    • Provide training and corrective coaching when errors or trends are identified.
  • Claims & Denial Management
    • Oversee denial trending and root cause analysis for all orthopedic-related claims.
    • Identify and escalate systemic issues such as incorrect coding, missing documentation, or payer configuration errors.
    • Work closely with billing, coding, and authorization teams to resolve high-value or high-impact claims.
    • Ensure claims are submitted, followed up, and appealed in accordance with payer guidelines and timely filing limits.
  • Analytics & Reporting
    • Prepare and distribute daily, weekly, and monthly reports on claim status, denial trends, and AR performance.
    • Monitor KPIs such as denial rate, claim turnaround time, and first-pass resolution rate.
    • Track performance metrics for the entire team and provide data-driven recommendations for improvement.
  • Compliance & Continuous Improvement
    • Ensure all claim activities comply with HIPAA, payer rules, and internal SOPs.
    • Stay current with orthopedic coding changes, payer updates, and EPIC workflows.
    • Recommend and implement process improvements to enhance claim accuracy and reduce rework.
    • Participate in audits and provide supporting claim documentation when required.

Requirements

Qualifications

  • 3-5 years of experience in medical claims management or billing, with a strong focus on orthopedic claims.
  • Proven experience managing or leading a claims or AR team in a healthcare setting.
  • Hands-on experience with EPIC system is required.
  • Excellent understanding of CPT/HCPCS codes, modifiers, EOBs, ERAs, CARC/RARC codes, and payer-specific denial handling.
  • Advanced Excel skills (pivot tables, lookups, trend tracking).
  • Exceptional attention to detail and strong problem-solving abilities.
  • Excellent communication skills and ability to work cross-functionally with billing, coding, and management teams.

Benefits

Why Choose Genesis?

Supportive Team - Be part of a compassionate and professional healthcare team that values collaboration.

Competitive Compensation - Enjoy a strong base salary with opportunities for performance-based bonuses.

Meaningful Impact - Help us revolutionize healthcare by making top-tier orthopedic care accessible to everyone.

Apply today and be part of something truly transformative at Genesis Orthopedics & Sports Medicine.

Apply