Orthopedic Coding & Reimbursement Operations Lead

My Ideal Recruiter; Atlanta (GA); On-site; USD 90,000 - 120,000; Full time

Job summary

My Ideal Recruiter is seeking a hands-on coding leader for an orthopedic surgical practice in Atlanta. You will own CPT coding accuracy for surgical cases and partner with collections to improve reimbursement outcomes.

The role includes managing prior authorizations, handling both standard insurance billing and personal injury cases, and building an in-house coding team as volume grows.

Qualifications

• Solid background in orthopedic surgical coding (spine and extremities).
• Experience leading or mentoring a coding/billing team.
• Certified medical coder (CPC, CCS, or equivalent) preferred.
• Comfortable with insurance billing and attorney-driven personal injury claims.
• On-site five days a week.

Responsibilities

• Drive day-to-day accuracy of CPT coding for surgical cases, ensuring claims go out correctly coded.
• Partner closely with the collections lead as a co-owner of billing and collections outcomes.
• Manage the prior authorization process for upcoming surgical procedures.
• Navigate between coding approaches for different claim types while staying compliant.
• Lead, train, and grow a small in-house coding team as volume increases.
• Apply sound judgment to coding edge cases rather than rigid rules.
• Be the go-to person for coding questions across the practice.

Skills

Orthopedic coding

Team leadership

CPC/CCS certification

Billing & collections collaboration

Job description

My Ideal Recruiter is seeking a hands-on coding leader for an orthopedic surgical practice in Atlanta. You will own CPT coding accuracy for surgical cases and partner with collections to improve reimbursement outcomes.

The role includes managing prior authorizations, handling both standard insurance billing and personal injury cases, and building an in-house coding team as volume grows.