We are looking for a full-time Certified Medical Coder with at least 1 year of on-the-job experience. Monday through Friday, this is an in-house position, NOT REMOTE.
$22-$25 DOE
Summary:
The position requires evaluating a wide range of patient medical records to ensure accurate coding and proper billing in compliance with medical and legal standards. The candidate will maintain a thorough knowledge of relevant guidelines, practices, and standards, as well as a deep understanding of standard operating procedures (SOPs). Responsibilities include applying payments to accounts efficiently and accurately, following departmental and payer policies and procedures. The role also requires proactive assistance to patients and families with account inquiries, while providing a friendly and knowledgeable experience for all patients.
- Review orthopedic medical records, operative reports, and provider documentation for completeness and accuracy
- Assign appropriate diagnosis and procedure codes using ICD-10, CPT, and HCPCS
- Accurately code services such as fracture care, joint injections, casting/splinting, and surgical procedures
- Ensure proper use of modifiers (e.g., -25, -50, -59, RT/LT) specific to orthopedic billing
- Verify documentation supports medical necessity and coding selections; query providers when clarification is needed
- Maintain compliance with payer guidelines, including Medicare, commercial plans, and VA requirements when applicable
- Stay current with coding updates, orthopedic guidelines, and regulatory changes
- Follow up on denied claims.
Certified Medical Coder (required).
Must be at least 18 years old to apply.
Must pass a criminal background check and drug screen.