Medical Coder – Orthopedics

Who: A growing orthopedic healthcare organization seeking an experienced Medical Coder with strong orthopedic coding expertise and a commitment to accuracy, compliance, and revenue cycle excellence.

What: An opportunity to manage accurate medical coding for orthopedic procedures, ensure documentation integrity, support reimbursement, and help minimize claim denials.

When: Immediate opportunity for a qualified Medical Coder looking to contribute to a growing healthcare organization.

Where: An established orthopedic healthcare organization with a collaborative and supportive team environment.

Why: Join a growing healthcare organization where your coding expertise will directly contribute to accurate reimbursement, operational efficiency, and quality patient care.

Office Environment: Full-time, in-office position.

Salary: Competitive compensation based on experience, with excellent benefits and generous paid time off (PTO).

Position Overview

We are seeking an experienced Medical Coder specializing in Orthopedics to join a growing healthcare organization. This position is responsible for accurately coding orthopedic clinical and surgical services, ensuring compliance with regulatory and payer requirements, and supporting efficient revenue cycle operations.

The ideal candidate has a strong understanding of orthopedic surgical coding, CPT and ICD-10-CM guidelines, modifiers, and documentation requirements. This individual will work closely with providers, billing professionals, and revenue cycle teams to ensure accurate claim submission, minimize denials, and maximize appropriate reimbursement.

This is an excellent opportunity for a detail-oriented coding professional who thrives in a fast-paced healthcare environment and enjoys collaborating with clinical and administrative teams.

Key Responsibilities

Orthopedic Coding & Documentation

• Accurately assign CPT, HCPCS, and ICD-10-CM codes for orthopedic office visits, procedures, and surgical services.

• Code a variety of orthopedic specialties, including joint replacements, arthroscopy, spine, sports medicine, trauma, fracture care, and injections.

• Ensure appropriate use of modifiers, laterality, diagnosis specificity, and global surgery guidelines.

• Review operative reports, clinical documentation, and medical records to ensure coding accuracy and completeness.

• Identify documentation deficiencies and communicate with providers to obtain clarification when necessary.

Coding Compliance & Quality Assurance

• Maintain compliance with CMS, NCCI, Medicare, Medicaid, and commercial payer coding requirements.

• Stay current with coding updates, payer policies, and regulatory changes.

• Review coding edits and identify potential billing or reimbursement issues before claim submission.

• Participate in coding audits and quality improvement initiatives.

• Ensure accurate application of medical necessity requirements and payer-specific guidelines.

Revenue Cycle & Denial Prevention

• Collaborate with billing and Accounts Receivable teams to resolve coding-related denials and claim rejections.

• Research coding discrepancies and recommend appropriate corrections.

• Support timely charge entry and claim processing to minimize reimbursement delays.

• Assist with coding-related appeals and documentation requests.

• Identify opportunities to improve coding accuracy, reduce revenue leakage, and optimize reimbursement.

Provider & Team Collaboration

• Work closely with orthopedic surgeons, advanced practice providers, clinical staff, and revenue cycle professionals.

• Communicate documentation and coding requirements to providers and internal teams.

• Support coding workflow improvements and operational efficiency.

• Maintain productivity and accuracy standards while managing assigned coding volumes.

• Contribute to a collaborative, quality-focused work environment.

Qualifications

Required Qualifications

• Minimum of 3 years of medical coding experience, preferably in orthopedics or a surgical specialty.

• Certified Professional Coder (CPC) certification required.

• Strong knowledge of orthopedic coding, includ