Coder II

OrthoVirginia; Virginia, Northern (MN, KY); Hybrid; USD 29,000 - 43,000; Full time

Job summary

OrthoVirginia in Virginia is seeking a Medical Coding Specialist to review patient records and assign accurate ICD-10, CPT, and HCPCS codes. You will analyze encounters, ensure codes match documentation, and help resolve pre-bill errors for outpatient and surgical services.

The role emphasizes independence, accuracy, and clear communication with clinic and billing staff. Familiarity with physician billing, confidentiality, and MS Office is preferred. This position participates in e-Verify.

Qualifications

• Proficiency in medical terminology.
• Thorough understanding of ICD-10 and CPT coding principles.
• Strong communication skills and attention to detail.

Responsibilities

• Analyze and interpret patient records to assign ICD-10, CPT, and HCPCS codes.
• Ensure codes reflect documented records and comply with regulations.
• Research and resolve routine pre-bill errors for outpatient and surgical billing.
• Determine appropriate course of action while prioritizing tasks.
• Report coding trends and compliance concerns to leadership.
• Work independently with accuracy and efficiency.
• Assist clinic and billing staff with coding questions.
• Interpret denials and determine next steps for coding categories.

Skills

Medical terminology

ICD-10/CPT coding

Communication skills

Attention to detail

Confidentiality

Microsoft Office

Practice management systems

Tools

Microsoft Office Suite

EMR/EHR systems

Job description

At 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.

Primary Functions & Responsibilities:

• Analyze and interpret patient medical records, visit encounters, and reports to assign and sequence appropriate codes upon reviewing billed information.
• Ensure ICD-10, CPT, and HCPCS codes correctly reflect the documented records.
• Research, analyze, and resolve routine pre‑bill errors and edits for provider‑based outpatient and surgical billing.
• Determine appropriate course of action while organizing and prioritizing tasks.
• Report coding and documentation trends to leadership regarding compliance concerns.
• Work independently, efficiently prioritizing workflow while maintaining accuracy.
• Demonstrate strong problem‑solving skills with clear verbal and written communication.
• Assist clinic and billing staff with coding‑related questions.
• Provide support in interpreting denials, conducting reviews, and determining appropriate next steps for coding categories such as medical necessity, inclusivity, bundling, non‑covered services, and cases where documentation does not support the claim.
• Ensure compliance with State, Federal, and Insurance regulations concerning coding for consultations, diagnoses, and surgical procedures.
• Seek guidance from managers, physicians, or content experts when needed.
• Perform other duties as assigned.

Knowledge, Skills & Abilities:

• Proficiency in medical terminology
• Thorough understanding of ICD-10 and CPT coding principles
• Strong communication skills
• Effective problem‑solving abilities
• Excellent organizational and time management skills
• Knowledge of physician billing and collections processes
• Ability to multitask in a fast‑paced environment
• Highly accurate data entry skills with keen attention to detail
• Ability to maintain confidentiality of patient and employee information
• Proficiency in Microsoft Office, practice management systems, and basic office equipment

Physical Requirements:

• Sitting: Continuously
• Standing: None (unless working onsite, Some)
• Walking: None (unless working onsite, Some)
• Climbing: None
• Bending/stooping: None
• Kneeling/crouching: None
• Reaching overhead: None
• Using full range of motion: None
• Lifting Light up to 20 lbs: Rarely
• Medium 21-50 lbs: None
• Heavy 51 lbs+: None
• Carrying objects: Rarely (unless working onsite, Some)
• Pushing/pulling: None
• Fine motor skills/dexterity: Continuously
• Visual acuity: Continuously
• Hearing ability: Continuously
• Speaking clearly: Continuously
• Working in confined spaces: Rarely
• Exposure to outdoor elements: None
• Exposure to noise: None (unless working onsite, Some)
• Exposure to infectious materials/radiation: None
• Use of personal protective equipment: Rarely
• Operating office equipment: computer, keyboard, mouse, copier, printer, fax, phone, headset: Continuously
• Operating vehicles, large equipment or machinery: None
• Set‑up and work in an ergonomic, distraction‑free home office: Continuously

Compensation Range for this position:

$20.96 - $31.44

Compensation for this role will be based on several factors, including the candidate's qualifications, relevant experience, education, skills, certifications, geography/market, and internal equity considerations.

This organization participates in e-Verify.

Esta organización participa en e-Verify.

With more than 150 orthopedic specialists in over 35 locations in Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads, OrthoVirginia is Virginia’s largest provider of orthopedic medicine and one of the leading providers of physical, hand and occupational therapy. As one of the largest orthopedic specialty practices in the country, OrthoVirginia’s nationally recognized physicians provide advanced surgical and non‑surgical care to patients of all ages.