Medical Coding Specialist - Orthopedic Surgery & Office
New
United StatesFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- Minimum of 2 years of coding experience
- Required Skills
- EHRHIPAA
Requirements
- High school diploma or equivalent.
- Certification as a Certified Professional Coder (CPC), Certified Orthopaedic Surgery Coder (COSC), or equivalent from AAPC/AHIMA.
- Minimum of 2 years of coding experience, preferably in orthopedics or a related specialty.
- Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.
- Excellent attention to detail and accuracy.
- Strong communication skills for interacting with providers and team members.
- Ability to work independently and meet deadlines.
- Knowledge of medical terminology, anatomy, and physiology (orthopedic focus preferred).
Responsibilities
- Review provider documentation from office visits, surgeries, imaging interpretations, injections, and other orthopedic services.
- Assign appropriate ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes according to official coding guidelines and payer rules.
- Verify coding accuracy and completeness to support correct claim submission and reduce denials.
- Query providers when documentation is incomplete, unclear, or inconsistent with coding guidelines.
- Keep current with orthopedic coding updates, payer policy changes, and compliance regulations.
- Collaborate with the billing team to resolve claim rejections, denials, and coding-related issues.
- Maintain confidentiality of patient information in compliance with HIPAA regulations.
- Participate in coding audits and provide feedback to improve documentation and coding accuracy.
- Assist in educating providers and staff on documentation improvement related to orthopedic coding.
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