Multi-Specialty Pro-Fee Medical Coder (Orthopedic)

We are seeking highly experienced Orthopedic Medical Coders with current expertise in orthopedic coding to support a dynamic healthcare organization. This role is open for 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:

• Review provider-submitted coding in EPIC against clinical documentation (Charge Review Work Queues)
• Resolve EPIC edits and recommend coding corrections to departments
• Review provider-submitted coding and address clearinghouse rejections and claim edits (Claim Edit Work Queues)
• Recommend appropriate coding corrections based on documentation
• Review post-bill denials and payer edits (Follow-Up Work Queues)
• Analyze documentation and recommend coding updates to resolve issues
• Review documentation to ensure coding accuracy and compliance
• Work billing and coding edits, denials, and payer requirements
• Provide 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:

• 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

If you are an experienced Orthopedic Coder actively coding orthopedics and looking for your next remote opportunity, we encourage you to apply today.