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Work from Office
Full Time
Review and interpret clinical documentation from orthopedic surgery encounters (inpatient, outpatient, or ASC).
Assign appropriate CPT, ICD-10-CM, and HCPCS Level II codes for orthopedic surgeries including:
Joint replacements (hip, knee, shoulder),Fracture repairs,Arthroscopies,
Ligament/tendon repairs
Spinal surgeries (if applicable)
Validate that documentation supports billed codes according to coding and payer guidelines.
Ensure coding is compliant with federal regulations, payer policies, and auditing standards.
Query physicians for clarification when documentation is incomplete or unclear.
Work collaboratively with surgeons, clinical staff, and billing personnel to resolve coding-related issues.
Stay current with changes in coding guidelines, CMS regulations, and payer-specific rules.
Assist with internal and external coding audits and implement recommended changes.
Use encoder tools and electronic health record (EHR) systems to complete coding assignments.
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