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.

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
- 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
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

CEMC certification
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.