Medical Coding Specialist – Orthopedics

Nflsurgeons; Jacksonville (FL); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Nflsurgeons is seeking a detail-oriented Medical Coding Specialist to enhance our revenue cycle department. The successful candidate will review clinical documentation, assign correct ICD-10, CPT, and HCPCS codes, and maintain compliance with federal regulations.

This full-time role, based in Florida, requires strong coding experience in orthopedic specialties and comes with a hybrid work arrangement. Join us to ensure accurate coding critical for reimbursement and patient care!

Qualifications

• At least 3 years’ experience in medical coding, especially in General surgery and Orthopedics.
• Familiarity with ICD-10, CPT, and HCPCS coding systems.
• Knowledge of medical billing practices and healthcare insurance policies.

Responsibilities

• Review medical records and assign accurate diagnosis and procedure codes.
• Collaborate with clinical, billing, and patient services departments.
• Ensure coding accuracy and compliance with healthcare regulations.
• Conduct regular audits to maintain coding accuracy.

Skills

Attention to detail

Communication skills

Organizational skills

Education

CPC, CPC-A or CCS certification

Job description

Overview

North Florida Surgeons is a leading healthcare provider committed to delivering exceptional patient care and service. We have over 300 medical providers and physician extenders and are currently seeking a detail-oriented and motivated Medical Coding Specialist to support our revenue cycle department. This role is essential in ensuring accurate coding for services rendered, which directly impacts reimbursement and compliance. The Medical Coder is responsible for reviewing clinical documentation and assigning appropriate ICD-10, CPT, and HCPCS codes for billing and reimbursement. This position works closely with providers, billing staff, and insurance companies to ensure coding accuracy and compliance with federal regulations.

Key Responsibilities

• Review medical records and documentation to assign accurate diagnosis and procedure codes
• Responsible for coding office visits and surgeries
• Collaborate between clinical, billing and patient services departments to ensure correct information is obtained for accurate coding and billing
• Accurately review patient medical records and assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and treatments.
• Ensure that coded data is correctly submitted for insurance claims, adhering to payer-specific guidelines and medical coding standards.
• Maintain strict adherence to healthcare regulations, including HIPAA, and ensure the accuracy of coding to minimize claim denials and audit risks.
• Work closely with physicians, nurses, and other healthcare staff to clarify any discrepancies in documentation and ensure proper coding.
• Conduct regular audits to ensure coding accuracy and identify areas for improvement in documentation practices.
• Stay updated with changes in medical coding guidelines, insurance policies, and healthcare regulations to maintain certification and improve coding practices.
• Assist the billing team by providing accurate codes for patient billing and insurance submissions.
• Act as liaison with physician offices, hospitals, and surgery centers regarding documentation for scheduled procedures
• Assist in resolving coding-related claim denials and rejections
• Maintain up-to-date knowledge of coding guidelines and payer policies
• Support audits and compliance initiatives as needed

Qualifications

• Certified Professional Coder (CPC), Certified Professional Coder Apprentice (CPC-A) or Certified Coding Specialist (CCS) certification required.
• At least 3 years’ experience in medical coding specialties of General surgery, ENT, ophthalmology, vascular, orthopedics or plastic surgery, with a strong understanding of ICD-10, CPT, and HCPCS coding systems.
• Familiarity with medical terminology, anatomy, and healthcare procedures.
• Strong attention to detail, organizational skills, and ability to work under pressure.
• Excellent communication skills, both written and verbal, to effectively collaborate with healthcare providers.
• Knowledge of medical billing practices and healthcare insurance policies.
• Ability to maintain confidentiality and comply with HIPAA regulations.
• Full Time w/Benefits
• Hybrid/Remote Position
• Must reside in the state of Florida
• Must have Orthopedic Coding Experience (E/M and Surgery) on the Physician/Professional side