Remote Orthopedic Surgical Coder — CPT/ICD-10 Expert

BizForce; Philippines; Remote; PHP 420,000 - 660,000; Full time

Benefits offered by this job

Permanent WFH

Leave credits

Monetary allowance

Annual bonus

Weekly paychecks

Fixed weekends off

Autonomy culture

Specialized training

Competitive salary

Job summary

BizForce is seeking an experienced Orthopedic Surgical Coder to join our healthcare revenue cycle team in the Philippines. This role reviews operative reports, medical records, and physician documentation to assign CPT, ICD-10-CM, and HCPCS codes for orthopedic procedures.

The ideal candidate has hands-on orthopedic coding experience, understands detailed operative reports, and can independently interpret them.

Qualifications

• 3+ years of professional medical coding experience, with significant orthopedic surgical coding experience.
• Demonstrated experience coding orthopedic surgical procedures directly from operative reports.
• Strong knowledge of CPT, ICD-10-CM, and HCPCS coding systems.
• Strong understanding of orthopedic anatomy, terminology, surgical techniques, and common procedures.
• Thorough knowledge of modifiers, bundling rules, NCCI/CCI edits, and global surgery guidelines.
• CPC, CCS, COC, or another nationally recognized medical coding certification preferred.
• Experience with an orthopedic surgery group, ambulatory surgery center, or hospital-based department.
• Experience with ModMed or other orthopedic-focused EMR/EHR and billing platforms.
• Experience with surgical claims, payer edits, denials, and coding-related appeals.
• Experience with multiple payers, Medicare, and workers compensation.
• Experience with coding audits and quality assurance processes.

Responsibilities

• Review operative reports and medical records to assign CPT, ICD-10-CM, and HCPCS codes.
• Code orthopedic procedures including joint replacement, arthroscopy, fractures, spine, sports medicine, hand/foot procedures and repairs.
• Apply modifiers like -25, -50, -51, -52, -53, -58, -59, -76, -77, -78, -79 where supported.
• Ensure proper diagnosis codes and medical necessity.
• Review claims for NCCI/CCI edits, bundling, and global surgery rules.
• Determine global vs separately reportable services.
• Identify discrepancies and documentation gaps.
• Research complex coding questions using official guidelines and payer policies.
• Maintain high coding accuracy, productivity, and turnaround time.
• Assist with audits, denials, appeals, and corrective actions.

Skills

Orthopedic surgical coding

CPT coding

ICD-10-CM coding

HCPCS coding

Modifier application

NCCI/CCI knowledge

HIPAA compliance

Communication with physicians

Audits & denial review

Productivity management

Education

Medical coding certification (CPC/CCS/COC)

Tools

ModMed EMR

Billing platforms

Job description

BizForce is seeking an experienced Orthopedic Surgical Coder to join our healthcare revenue cycle team in the Philippines. This role reviews operative reports, medical records, and physician documentation to assign CPT, ICD-10-CM, and HCPCS codes for orthopedic procedures.

The ideal candidate has hands-on orthopedic coding experience, understands detailed operative reports, and can independently interpret them.