About the Role We are seeking highly experienced Orthopedic Medical Coders with current expertise in orthopedic coding to support a dynamic healthcare organization. This role requires coders who are actively coding orthopedics on a regular basis. (open to 20, 30, or 40 hours a week)
The ideal candidate will be fully up to date on current orthopedic coding guidelines and comfortable providing coding feedback and education to orthopedic providers, particularly regarding bundling/unbundling rules, modifier usage, and coding compliance.
Key Responsibilities
Charge Review Work Queues
โข Review provider-submitted coding in EPIC against clinical documentation
โข Resolve EPIC edits and recommend coding corrections to departments
Claim Edit Work Queues
โข Review provider-submitted coding and address clearinghouse rejections and claim edits
โข Recommend appropriate coding corrections based on documentation
Follow-Up Work Queues
โข Review post-bill denials and payer edits
โข Analyze documentation and recommend coding updates to resolve issues
Additional responsibilities include:
โข Reviewing documentation to ensure coding accuracy and compliance
โข Working billing and coding edits, denials, and payer requirements
โข Providing coding guidance and feedback to orthopedic providers and departments
Requirements
โข Minimum 5 years of active, ongoing orthopedic coding experience
โข Current CPC (AAPC) or equivalent certification through AAPC or AHIMA
โข Extensive experience coding orthopedic services in POS 11, 21, and 22
โข Experience coding in-office procedures and orthopedic surgeries
โข Strong knowledge of billing edits, clearinghouse edits, and payer denials
โข Comfortable providing coding feedback and education to providers
Preferred Qualifications
โข CEMC certification
โข Experience with EPIC
โข Experience with Medicaid of California guidelines
โข Multi-specialty coding background
Orthopedic Coding Expertise Required Candidates must demonstrate strong experience coding:
โข Spinal injections / pain management procedures
โข Open fracture repair
โข Hand surgery, fracture care, and tendon repairs
โข Carpal tunnel release
โข Hardware removal procedures
โข Neuroplasty
โข Arthroscopy (shoulder, knee, hip)
โข Arthroplasty (shoulder, knee, hip)
โข Joint repairs
Why Join Us
โข Remote work opportunity
โข Work with a collaborative and highly specialized team
โข Full suite of benefits for full-time employees
โข Free CEU opportunities
โข 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.