Orthopedic and Plastic Surgery Medical Coding Specialist

iMedX; Edgewater (MD); Remote; USD 60,000 - 90,000; Part time

Job summary

A leading company is seeking a part-time Orthopedic and Plastic Surgery Medical Coding Specialist with expertise in outpatient coding. The candidate should have a CPC certification and a strong background in coding for surgical procedures. This role is essential for ensuring coding accuracy and regulatory compliance, offering a flexible home-based work environment with opportunities for professional growth.

Qualifications

• Minimum 3 years of coding experience with ICD and CPT coding.
• Experience in outpatient surgical coding for Orthopedic and Plastic Surgery.
• Knowledge of coding guidelines and reimbursement methodologies.

Responsibilities

• Review and assign codes for orthopedic and plastic surgery procedures.
• Ensure compliance with federal regulations and payer guidelines.
• Collaborate with medical staff for coding accuracy.

Skills

Attention to detail

Customer service

Communication skills

Education

Certified Professional Coder (CPC)

Completion of a formal coding program

Job description

Orthopedic and Plastic Surgery Medical Coding Specialist

Orthopedic and Plastic Surgery Medical Coding Specialist

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We have an immediate opening for a part-time Orthopedic and Plastic Surgery Medical Coder. Candidate will be a highly skilled and detailed-oriented Certified Medical Coder with specialized experience in Ambulatory Orthopedic and Plastic Surgery Coding for Same-Day Surgeries (outpatient procedures). The idealcandidate will possess extensive knowledge of CPT, ICD-10-CM and HCPCS coding systems, along with a strong understanding of outpatient surgical documentation and regulatory compliance. Preference will be given to candidates with same-day surgery coding and ASC coding specialties.

Purpose

The Medical Coding Specialist plays a key part in ensuring accurate coding for optimal reimbursement and compliance with all coding and billing guidelines.

Organizational Structure:The Coding Specialist reports to the Coding Manager.

Key Responsibilities:

• Accurately review and assignCPT, ICD-10-CM, and HCPCS Level IIcodes to orthopedic and plastic surgery procedures performed in an ambulatory surgery setting
• Ensure that coding is compliant with federal regulations, payer-specific guidelines, and facility coding policies. Meets productivity standards for position
• Abstract relevant clinical information from surgical notes, operative reports, and related medical documentation
• Work collaboratively with physicians, surgical staff, and billing teams to clarify documentation and ensure coding accuracy
• Utilize coding software, encoder tools, and EHR systems effectively to support accurate and timely charge capture
• Continually enhances coding skills by keeping up-to-date with current coding guidelines and changes in regulations, payer policies, and CMS requirements. Participates in team meetings and educational conferences to ensure coding practice remains current
• Maintains confidentiality and safeguards the privacy of protected health information (PHI)
• Conduct periodic audits of coded data to ensure accuracy and identify areas for improvement
• Assist in resolving coding-related denials and contribute to appeal processes when necessary
• Performs other job related duties as may be assigned or required
  
  

Education:High school diploma or GED equivalent. Completion of a formal coding program with the following certification required: Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), or equivalent AAPC or AHIMA approved coding credential. Candidates with apprenticeship designations in their credentials, regardless of years of experience, will not be considered.

Experience:Minimum of three years’ coding work experience encompassing a working knowledge of the ICD and CPT coding systems; medical terminology; anatomy and physiology; and health record content. At least 2 years' specifically in ambulatory surgical coding with a strong focus on Orthopedic and Plastic Surgery procedures. Exhibits a sense of urgency towards work, possesses intermediate level computer skills, attention to detail, excellent customer service and written and verbal communication skills.Preferred experienceto those with familiarity with NCCI edits, modifier usage, and payer-specific rules. Knowledge of reimbursement methodologies (e.g., APC's, fee-for-services)

Physical Work Environment:The work environment is a home-based position that involves long periods of sitting with repetitive motions of hand and arm and may include frequent bending and twisting.

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Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Part-time

Job function

• Job function

  Health Care Provider

• Industries

  Internet Publishing

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