CPC-Certified Orthopedic Medical Coder (Hybrid)

DaMar Staffing; New York (NY); Hybrid; USD 28,000 - 50,000; Full time

Job summary

Excelsior Orthopaedics is seeking a Coder in Orchard Park, NY to review, interpret, and assign CPT, ICD-10, and HCPCS codes, ensuring compliance with federal regulations and payer policies.

You will audit surgical reports for orthopedic procedures, collaborate with clinicians and billing to resolve coding issues, and stay current with coding guidelines. Hybrid work options available.

Qualifications

• Associates degree preferred; HS diploma or GED required.
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification is required.
• Proven experience (1+ years) as a Coder or in a similar role required.
• Demonstrated ability and understanding of an electronic health record (EHR/EMR) and coding software is preferred.
• Knowledge of orthopedic, physical therapy, or podiatry medical terminology is desirable.
• Ability to work independently and collaboratively in a fast-paced, team-oriented environment.
• Computer skills required with minimum proficiency in Microsoft Word, Excel, Outlook, and Teams.

Responsibilities

• Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic services.
• Ensure coding practice meets federal and state guidelines, payer-specific requirements, and company policies.
• Communicate with providers and clinical staff to ensure accurate documentation to produce accurate coding.
• Monitor coding edits, denials, and rejections; assist in appeals and corrections as needed.
• Collaborate with the billing team to resolve coding and reimbursement issues.
• Stay current with coding guidelines, orthopedic-specific regulations, and payer updates.
• Accurately enter and itemize charge data into the billing system, ensuring completeness and adherence to internal policies.
• Prepare, process, and transmit insurance claims (electronic and paper) in accordance with payer requirements and deadlines.

Education

High School diploma or GED

Associates degree preferred

Tools

EHR/EMR software

Microsoft Word

Microsoft Excel

Outlook

Teams

Job description

Excelsior Orthopaedics is seeking a Coder in Orchard Park, NY to review, interpret, and assign CPT, ICD-10, and HCPCS codes, ensuring compliance with federal regulations and payer policies.

You will audit surgical reports for orthopedic procedures, collaborate with clinicians and billing to resolve coding issues, and stay current with coding guidelines. Hybrid work options available.