Orthopedic Coding & Precertification Leader

Barbour Ortho; Chamblee, Northern (GA, KY); Hybrid; USD 120,000 - 170,000; Full time

Benefits offered by this job

Competitive compensation

Bonus potential

Comprehensive benefits

Job summary

Barbour Orthopaedics & Spine seeks a seasoned Orthopaedic Coding & Precertification Manager to lead coding excellence, precertification workflows, and denial prevention across physician practices and ASC operations.

The role requires deep orthopedic coding expertise, payer authorization knowledge, and strong leadership to drive revenue cycle improvements and patient access in a growing multi-state platform.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, Health Information Management, or related field preferred; equivalent education and experience may be considered.
• Minimum of five (5) years of orthopedic coding, revenue cycle, authorization, or related healthcare reimbursement experience.
• Minimum of two (2) years of leadership, management, or supervisory experience.
• Strong knowledge of orthopedic surgical coding, precertification processes, payer authorization requirements, and revenue cycle operations.
• Proficiency with Microsoft Excel and healthcare billing, reporting, and PM/EHR systems.

Responsibilities

• Lead Orthopaedic Coding Excellence by ensuring accurate coding of orthopedic procedures, including Joint Replacement, Sports Medicine, Arthroscopy, Spine Surgery, and more.
• Oversee all surgical and procedural authorization workflows to prevent delays and denials.
• Collaborate with billing teams to improve clean claim rates and reduce reimbursement delays.
• Analyze denials and develop corrective action plans to improve financial outcomes.
• Develop and lead high-performing teams; mentor staff and drive continuous process improvements.

Skills

Orthopedic coding

Payer authorization

Revenue cycle management

Leadership

Analytics

Education

Bachelor’s degree in Healthcare Administration or related field

Tools

Epic

NextGen

Athenahealth

eClinicalWorks

Power BI

Job description

Barbour Orthopaedics & Spine seeks a seasoned Orthopaedic Coding & Precertification Manager to lead coding excellence, precertification workflows, and denial prevention across physician practices and ASC operations.

The role requires deep orthopedic coding expertise, payer authorization knowledge, and strong leadership to drive revenue cycle improvements and patient access in a growing multi-state platform.