Multi-Specialty Pro-Fee Medical Coder (ortho)

Description 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.