Orthopedic Medical Coder

Job Summary

A company is looking for a Multi-Specialty Pro-Fee Medical Coder (ortho).

Key Responsibilities

• Review provider-submitted coding in EPIC against clinical documentation and recommend corrections
• Address clearinghouse rejections and claim edits, providing appropriate coding corrections
• Analyze post-bill denials and payer edits, recommending coding updates to resolve issues

Required Qualifications

• 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
• Strong knowledge of billing edits, clearinghouse edits, and payer denials
• Experience coding in-office procedures and orthopedic surgeries