Summary: The Coding Specialist is responsible for reviewing clinical documentation and accurately assigning CPT, ICD-10, and HCPCS codes for orthopaedic procedures and services. This role ensures compliance with coding guidelines, optimizes reimbursement, and supports efficient revenue cycle operations for the practice.

General Summary of Duties: (Other duties may be assigned.)

·        Review and assign accurate medical codes for diagnoses, procedures, and services using ICD-10, CPT, and HCPCS guidelines.

·        Ensure coding compliance with federal, state, and payer regulations, as well as internal policies.

·        Collaborate with physicians, clinical staff, and billing team to clarify documentation and resolve discrepancies.

·        Monitor and stay updated on coding changes, regulations, and payer requirements.

·        Assist with audits and quality assurance activities to minimize claim denials.

Qualifications:

·        To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required.

Education and Training:

·        Preferred: Certification as a CPC (Certified Professional Coder), COC (Certified Outpatient Coder), or equivalent credential. 2+ years of orthopedic medical coding experience.

·        Strong knowledge of medical terminology, anatomy, and physiology — especially as it relates to musculoskeletal care.

·        Proficient in EMR/EHR systems and Microsoft Office Suite.

·        Exceptional attention to detail, accuracy, and organizational skills.

Physical Demands and Working Conditions/Requirements:

·        Requires prolonged periods of sitting at desk and working at computer

·        Must have good computer and telephone communication skills and able to operate misc. office equipment

·        Hearing and vision abilities within normal range, or corrected, to observe and communicate with patients and staff

·        Ability to work in fast-paced environment in a professional medical office setting

·        Reasonable accommodations may be made to enable individuals with disabilities to perform the necessary functions

Position Type and Expected Hours of Work:

·        Full time: 40 hours per week; day shift hours on weekdays

Travel Requirements:

·        Travel not anticipated

Full-time Benefits

·        Health, Dental, and Vision Insurance

·        401k Plan, 3% Safe Harbor Non-Elective Employer Contribution

·        Employer-provided $25,000 Group Life Insurance

·        Voluntary Life Insurance

·        Short-Term and Long-Term Disability

·        Accident, Hospital, Critical Illness/Cancer Benefits

·        Mileage Reimbursement for travel between office locations

·        Certificate and Continuing Education Reimbursement

·        Accrual Paid Time Off (up to 19 days off within 1st year) 

·        6 Paid Holidays Per Year

·        Closed on Major Holidays

To Apply: Please complete online application at https://recruitingbypaycor.com/career/JobIntroduction.action?clientId=8a7883d0900e46070190186232490819&id=8a78859e9d4aea68019d77716d552fc9&source=&lang=en