Certified Medical Coder

Join Our Growing Coding Team – Where Orthopaedics Meets Opportunity!

We know Coders are looking for more than just a job - you want growth, support, and the tools to succeed.

What Sets Us Apart:

• Company-issued laptop for streamlined documentation
• Collaborative environment
• Opportunity to work fully remote after training
• Opportunity to become a part of organization that is team-focused!

Retirement Benefits:

• Guaranteed 3% company contribution to your 401(k)
• Discretionary profit-sharing contribution annually (after 1 year of service and meeting eligibility requirements)

Job Summary

The Coder is responsible for reviewing, interpreting, and assigning appropriate CPT, ICD-10, and HCPCS codes, and ensuring compliance with federal regulations and payer policies. This position is responsible for reviewing operative reports for all procedures performed by Excelsior Orthopaedic Physicians for completeness and to abstract and code clinical data, using standard classification systems.

Duties and Responsibilities

• Demonstrate core values of being patient centered, team focused, service driven, accountable, and innovative every day.
• Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic services, including office visits, imaging, physical therapy, and surgical procedures.
• Ensure coding practices meet federal and state guidelines, payer-specific requirements, and company policies.
• Communicate with providers and clinical staff to ensure accurate documentation to produce accurate coding.
• Monitor coding edits, denials, and rejections; assist in appeals and corrections as needed.
• Collaborate with the billing team to resolve coding and reimbursement issues.
• Stay current with coding guidelines, orthopedic-specific regulations, and payer updates.
• Accurately enter and itemize charge data into the billing system, ensuring completeness and adherence to internal policies.
• Assist with verifying and applying correct CPT, ICD-10, and HCPCS codes based on provider documentation; escalate complex coding issues to certified coders when needed.
• Prepare, process, and transmit insurance claims (electronic and paper) in accordance with payer requirements and deadlines.
• Collect and verify all information necessary to complete the billing process, including patient demographics, insurance coverage, and provider charge details.
• Perform supplemental responsibilities as assigned.

Requirements and Qualifications

• Associates degree preferred; HS diploma or GED required.
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification is required.
• Proven experience (1+ years) as a Coder or similar role required.
• Demonstrated ability and understanding of electronic health records (EHR/EMR) and coding software preferred.
• Knowledge of orthopedic, physical therapy, or podiatry medical terminology is desirable.
• Ability to work independently and collaboratively in a fast-paced, team-oriented environment.
• Computer skills with proficiency in Microsoft Word, Excel, Outlook, and Teams.

Physical Demands

• Manual dexterity and eye-hand coordination to enter data and operate office equipment
• Corrected vision and hearing within normal range to observe and communicate with patients, providers, and staff.
• Frequently sitting for prolonged periods at a computer and other office equipment
• Occasional standing, walking, lifting/carrying up to 10 pounds.

The pay range for this position is determined based on factors including experience, qualifications, training, licenses, and market conditions.

Excelsior Orthopaedics and Buffalo Surgery Center are committed to inclusion and equal opportunity employment.

Work Location: Hybrid remote in Buffalo, NY 14226