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Senior Medical Coder Orthopedics (One Month Contract) | Permanent WFH

Senior Medical Coder Orthopedics (One Month Contract) | Permanent WFH

BizForce
3-5 Years
  • Posted 22 hours ago
  • Be among the first 10 applicants

Job Description

We are seeking an experienced Senior Medical Coder with extensive orthopedic coding experience to support a high-volume physician practice. This is a project-based engagement expected to run approximately one month, with the possibility of extension or conversion to an ongoing role based on business needs and performance. The ideal candidate will have strong knowledge of orthopedic procedures, diagnoses, and reimbursement requirements, with the ability to accurately perform hard coding and coding audits while working independently in AdvancedMD.

This position requires a detail-oriented coder who can confidently review clinical documentation, assign accurate CPT, HCPCS, and ICD-10 codes, perform coding audits, and ensure claims are coded appropriately for maximum reimbursement and compliance.

Key Responsibilities

  • Perform accurate hard coding of orthopedic professional claims based on clinical documentation.
  • Conduct coding audits to evaluate accuracy, completeness, compliance, and appropriate reimbursement.
  • Review medical records, operative reports, office notes, and other documentation to determine appropriate diagnoses and procedures.
  • Identify coding errors, inconsistencies, missed charges, and opportunities for improved coding accuracy.
  • Assign accurate CPT, HCPCS, and ICD-10-CM codes in accordance with coding guidelines.
  • Code a broad range of orthopedic services, including surgical, procedural, and office-based encounters.
  • Ensure appropriate use of modifiers, bundling rules, global surgery guidelines, and NCCI edits.
  • Document and communicate audit findings and provide recommendations for corrective action when needed.
  • Work within AdvancedMD to review, enter, audit, and validate coding information.
  • Maintain a high level of coding accuracy and productivity in a high-volume environment.
  • Collaborate with providers and billing/RCM staff to resolve coding questions and discrepancies.
  • Stay current with changes to CPT, ICD-10, payer policies, and orthopedic coding guidelines.
  • Identify coding-related issues that may result in denials, underpayments, or compliance risk.

Qualifications

  • 3+ years of professional medical coding experience, with significant orthopedic coding experience.
  • AdvancedMD experience is required.
  • Strong hands-on experience with hard coding.
  • Professional coding audit experience is required.
  • Extensive knowledge of orthopedic coding and procedures.
  • Strong understanding of CPT, HCPCS, and ICD-10-CM coding.
  • Experience with modifiers, NCCI edits, bundling/unbundling, and global surgical periods.
  • Ability to interpret clinical documentation and translate it into accurate codes.
  • Strong analytical and attention-to-detail skills.
  • Ability to work independently and meet established quality and productivity standards.
  • Excellent written and verbal communication skills.
  • Can start ASAP and can work during the US hours.
  • Availability for a one-month engagement, with openness to extension if the role converts to a permanent position.

Preferred Qualifications

  • Experience coding for podiatry.
  • Experience coding for pain management.
  • CPC, CCS, or other recognized coding certification.
  • Experience working in a multi-specialty physician practice.
  • Experience identifying and correcting coding issues that contribute to claim denials.
  • Experience providing coding feedback or education to providers and coding staff.

Engagement Type

This role is being staffed as a one-month, project-based engagement to support an immediate coding/audit need. There is a possibility of the role being extended or absorbed into a permanent position, depending on ongoing business needs and the coder's performance — but the initial commitment should be treated as one month.

Ideal Candidate

The ideal candidate is a highly experienced orthopedic coder and auditor who can hit the ground running with minimal training. They should be comfortable handling complex orthopedic coding, performing detailed coding audits, working directly in AdvancedMD, and independently making accurate coding decisions based on provider documentation. AdvancedMD, significant orthopedic hard-coding experience, and coding audit experience are must-haves.

More Info

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Key Skills

unbundling

AdvancedMD

coding audits

global surgical periods

ICD-10-CM

NCCI edits

hard coding

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