Certified Orthopedic Surgical Coder | Charge Capture

OrthoVirginia

Herndon (VA)

Vor Ort

USD 65.000 - 90.000

Vollzeit

Vor 3 Tagen
Sei unter den ersten Bewerbenden
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Zusammenfassung

OrthoVirginia in Herndon, VA is seeking an Operatory Surgical Charge Capture Specialist who translates surgical activity into accurate charges, coding, and reimbursement. This role blends clinical knowledge with revenue cycle tasks to ensure cases are documented and billed correctly.

You will work across the Operatory, Materials Management, and Revenue Cycle teams to optimize reimbursement, prevent charge leakage, and maintain compliant records.

Qualifikationen

  • Orthopedic experience is required.
  • Experience in a surgical environment (ASC, hospital OR, or office-based operatory).
  • Strong understanding of surgical workflows, implants, and supplies.
  • CPC, CCS-P, CRC or similar coding credential.
  • Proficiency with CPT, HCPCS and modifier coding.
  • Experience with an electronic health record (EHR) system.

Aufgaben

  • Review completed surgical cases to ensure procedures, supplies, and implants are accurately captured.
  • Apply CPT/HCPCS coding and modifiers; verify documentation with surgeons.
  • Collaborate with surgeons and clinical teams to resolve missing or conflicting documentation.
  • Confirm billing requirements for surgical assistants.
  • Identify and resolve discrepancies before claims submission.
  • Reconcile implants, supplies, and materials with cut sheets and purchase orders.
  • Ensure compliance and accurate documentation within EHR and inventory systems.

Kenntnisse

Orthopedic experience
Attention to detail
Coding knowledge
CPC CCS-P CRC credential
Analytical skills
Collaboration
Surgical terminology

Ausbildung

CPC, CCS-P, CRC or similar credential

Tools

EHR system

Jobbeschreibung

Operatory Surgical Charge Capture SpecialistAt OrthoVirginia, you're part of a team dedicated to delivering expert orthopedic and therapy care across the state. As Virginia's largest provider of musculoskeletal care, we offer full-time and part-time opportunities in a collaborative, team-oriented environment. With more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads—OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. Our nationally recognized specialists treat a full range of musculoskeletal injuries and conditions, helping patients of all ages move, heal, and thrive. Join us and become part of a trusted network committed to excellence in orthopedic care. Bring Your Surgical Knowledge Beyond the OROrthoVirginia is seeking an Operatory Surgical Charge Capture Specialist who understands what happens during a surgical case—from the procedure performed to the implants, instruments, and supplies used-and can translate that activity into accurate charges, coding, and reimbursement. This is not a traditional medical coding role. The ideal candidate brings hands‑on knowledge of the orthopedic surgical environment along with coding expertise. You’ll work across our Operatory, Materials Management, clinical, and revenue cycle teams to ensure surgical cases are accurately documented, coded, and billed. This is an excellent opportunity for someone with a surgical operations background who has expanded their experience into materials management, implant coordination, charge capture, or surgical billing. MUST HAVE ORTHOPEDIC EXPERIENCE.

Location & Hours

Location: Herndon; 13350 Franklin Farm Rd, Suite 100, Herndon, VA 20171 Hours: Monday - Friday

Position Summary

We are seeking a detail‑oriented and clinically knowledgeable Operatory Surgical Coding Specialist to join our Operatory team. In this role, you will ensure accurate posting of surgical cases, proper billing of supplies and implants, and correct CPT/HCPCS coding in collaboration with surgeons, clinical staff, and the Operatory Director. This position plays a critical role in optimizing reimbursement, preventing charge leakage, maintaining compliance, and ensuring accurate documentation for all office-based surgical procedures. The ideal candidate combines clinical knowledge with strong billing and coding expertise to ensure every procedure, supply, and implant is documented, coded, and billed accurately, supporting both compliance and financial performance.

What You’ll Do
  • Surgical Case Review & Charge CaptureReview completed surgical cases to ensure procedures, supplies, and implants are accurately captured.
  • Review operative documentation and apply appropriate CPT, HCPCS, and modifier coding.
  • Partner with surgeons and clinical teams to clarify procedures performed and resolve missing or conflicting documentation.
  • Confirm surgical assistant and other applicable billing requirements.
  • Identify and resolve discrepancies before claims move forward.
  • Implants, Supplies & MaterialsReconcile surgical documentation with cut sheets, purchase orders, bill-only documentation, and operative records.Verify implants and surgical supplies used during procedures for accurate charge capture.Partner with Materials Management and clinical teams to reconcile inventory and implant usage.Support implant, consignment, and bill-only workflows.Identify missing charges that could result in reimbursement loss.
  • Revenue Accuracy & ComplianceAudit surgical cases for documentation, coding, and charge accuracy.Help prevent charge leakage by ensuring procedures, supplies, and implants are captured appropriately.Maintain compliance with applicable coding, billing, and documentation requirements.Maintain accurate and timely information within the EHR and inventory management systems.Collaborate across Operatory, Materials Management, and Revenue Cycle to resolve discrepancies and improve processes.
What Makes You a Great Fit

You understand the flow of a surgical case and are comfortable with surgical terminology, procedures, instrumentation, implants, and supplies. You also understand how that clinical information translates into accurate coding, charges, and reimbursement. You bring strong attention to detail, enjoy solving discrepancies, and can work effectively with surgeons, clinical teams, Materials Management, and Revenue Cycle.

Qualifications
  • Previous orthopedic experience
  • Experience working in a surgical environment, such as an ASC, hospital OR, or office-based operatory
  • Strong understanding of surgical workflows, instrumentation, implants, and supplies
  • CPC, CCS-P, CRC, or similar coding credential
  • Working knowledge of CPT, HCPCS, and modifier coding
  • Experience working within an electronic health record (EHR) system
  • Strong analytical, organizational, and problem-solving skills
  • High level of accuracy and attention to detail
  • Strong communication and collaboration skills
Your Experience May Look Different

There isn't just one path to this role. Relevant backgrounds may include:

  • Surgical Technologist/CST with coding, billing, or materials experience
  • OR Materials Management
  • Surgical Implant Coordinator
  • Surgical Charge Capture
  • ASC Surgical Billing
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