Orthopedic Coding Lead: Preauth & Reimbursement

My Ideal Recruiter; Chamblee (GA); On-site; USD 90,000 - 130,000; Full time

Job summary

My Ideal Recruiter seeks a hands-on coding leader for an orthopedic surgical practice in Georgia. You will own CPT coding accuracy for surgical cases and collaborate with the collections function to improve reimbursement outcomes.

Responsibilities include managing prior authorizations, navigating commercial and attorney-driven personal injury cases, and building an in-house coding team as volumes grow. This role is on-site five days a week and reports to practice leadership.

Qualifications

• Certification CPC or CCS preferred.
• Experience leading or mentoring a coding/billing team.
• Orthopedic surgical coding including spine and extremities.
• Familiarity with personal injury billing scenarios.

Responsibilities

• Drive day-to-day accuracy of CPT coding for surgical cases, ensuring proper first-time coding.
• Partner with collections as a co-owner of billing outcomes and reimbursement.
• Manage the prior authorization process for upcoming procedures.
• Adapt coding approaches for commercial vs. attorney-driven injuries while staying compliant.
• Lead and grow an in-house coding team as volume increases.
• Provide guidance on edge cases and answer coding questions across the practice.

Skills

Orthopedic coding

Team leadership

Problem solving

Attention to detail

Education

CPC or CCS certification

Job description

My Ideal Recruiter seeks a hands-on coding leader for an orthopedic surgical practice in Georgia. You will own CPT coding accuracy for surgical cases and collaborate with the collections function to improve reimbursement outcomes.

Responsibilities include managing prior authorizations, navigating commercial and attorney-driven personal injury cases, and building an in-house coding team as volumes grow. This role is on-site five days a week and reports to practice leadership.