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.