Orthopedic Medical Coder & Revenue Cycle Pro

TSAOG Orthopaedics & Spine; San Antonio (TX); On-site; USD 26,000 - 37,000; Full time

Job summary

TSAOG Orthopaedics & Spine is seeking a Certified Medical Coder to ensure accurate coding, charge capture, and clean claims in a fast-paced orthopedic setting. You will connect physician documentation to precise CPT/ICD-10-CM coding, verify charges, and collaborate with clinicians to resolve discrepancies.

The role emphasizes ownership, problem-solving, and proactive review to prevent denials and maximize revenue. Prior orthopedic coding experience and CPC certification are highly valued.

Qualifications

• High school diploma or GED required.
• Current Certified Professional Coder (CPC) certification.
• Minimum of 2 years of medical coding, billing, or charge-entry experience.
• Strong working knowledge of CPT, ICD-10-CM, HCPCS, modifiers, medical terminology, and insurance billing requirements.
• Ability to interpret physician documentation and identify potential coding or charge discrepancies.
• Strong analytical, critical-thinking, and problem-solving skills.
• Excellent attention to detail.
• Ability to manage multiple priorities and work independently.
• Willingness to research, ask questions, and take ownership of issues through resolution.

Responsibilities

• Review physician documentation and assign accurate CPT, ICD-10-CM, HCPCS, and modifier coding.
• Enter and verify charges for office visits, procedures, injections, diagnostic services, and durable medical equipment.
• Reconcile schedules, encounters, and documentation to ensure services are captured completely and accurately.
• Identify missing charges, documentation inconsistencies, and potential coding issues that could impact reimbursement.
• Research and resolve coding, charge, claim, and billing discrepancies.
• Work with physicians and clinical teams to obtain documentation clarification when needed.
• Identify recurring issues that may contribute to denials, rejected claims, or missed revenue.
• Assist with denial analysis and appeals to support appropriate reimbursement.
• Maintain compliance with payer, Medicare, Medicaid, and HIPAA requirements.
• Provide coding or charge clarification to support resolution of patient billing questions.
• Participate in coding audits, quality initiatives, and process improvement efforts.
• Demonstrated ability to audit provider documentation for coding accuracy and compliance.

Skills

Medical coding

Analytical skills

Attention to detail

Problem solving

Multi-tasking

Independent worker

Education

High school diploma or GED

Certified Professional Coder (CPC)

Job description

TSAOG Orthopaedics & Spine is seeking a Certified Medical Coder to ensure accurate coding, charge capture, and clean claims in a fast-paced orthopedic setting. You will connect physician documentation to precise CPT/ICD-10-CM coding, verify charges, and collaborate with clinicians to resolve discrepancies.

The role emphasizes ownership, problem-solving, and proactive review to prevent denials and maximize revenue. Prior orthopedic coding experience and CPC certification are highly valued.