About the Role: We are seeking highly experienced Orthopedic Medical Coders with current, hands-on orthopedic coding expertise and a strong multi-specialty coding background to support a dynamic healthcare organization. Candidates must be actively coding orthopedic services on a regular basis and remain current with all orthopedic coding guidelines and industry updates.

The ideal candidate will have extensive knowledge of multi-specialty and ortho coding principles, including bundling and unbundling rules, modifier usage, and compliance requirements. In addition to coding responsibilities, this role requires the ability to provide coding feedback, education, and documentation guidance to providers. Flexible schedules are available, with opportunities to work 10, 20, or 30 hours per week.

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

· Minimum 5 years of active, ongoing orthopedic coding experience

• Multi-specialty experience in at least 3 specialties not related to ortho

· 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

· 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.