The Orthopedic Surgery & ASC Coder / Revenue Cycle Specialist is responsible for accurate coding and charge capture for orthopedic surgical procedures performed in both physician practice and ambulatory surgery center (ASC) settings.
This role supports the revenue cycle team through claim follow-up, denial management, payment review, reimbursement analysis, and special projects focused on improving revenue integrity and operational efficiency.
Responsibilities include coding, claims resolution, reporting, analytics, and process improvement across billing and revenue cycle functions.
Requirements & Qualifications
Required
- Certified Professional Coder (CPC), CCS, or equivalent coding certification
- Minimum 3 years of orthopedic surgery coding experience
- Minimum 2 years of ASC facility coding experience
- Strong knowledge of ICD-10-CM, CPT, HCPCS, and modifier usage
- Experience with commercial insurance, Medicare, Workers' Compensation, and managed care payers
- Familiarity with orthopedic surgical procedures, spinal procedures, joint replacement, sports medicine, and pain management coding
- Experience reviewing operative reports and physician documentation
- Proficiency in Microsoft Excel and practice management systems
Preferred
- Experience with workers' compensation reimbursement and appeals
- Experience with denial management and accounts receivable follow-up
- Knowledge of ASC reimbursement methodologies and payer contract analysis
- Experience with electronic health records (EHR) and ASC management software
- Advanced Excel reporting and data analysis skills
Additional Skills
- Strong analytical and problem-solving skills
- Excellent attention to detail and accuracy
- Ability to prioritize multiple projects and meet deadlines
- Strong written and verbal communication skills
- Ability to work independently while collaborating with cross-functional teams
- Strong understanding of healthcare reimbursement methodologies and revenue cycle processes
- Professionalism and commitment to confidentiality and compliance standards
Location
Missouri, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
2 weeks ago