ORTHOPEDIC/SPINE SURGICAL CODER

Flagstaffboneandjoint; Flagstaff (AZ); Hybrid; USD 53,000 - 65,000; Full time

Benefits offered by this job

Medical Insurance

401(k) retirement plans

Paid time off

H.S.A.

Job summary

Flagstaff Bone and Joint is seeking a Medical Coder with orthopedic/spine coding experience in Flagstaff, AZ. CPC certification and surgical billing/adjudication experience are required to join our Revenue Cycle team.

Office-based role with remote flexibility for qualified candidates, reporting to the Revenue Cycle Manager. Responsibilities include accurate coding of records, entering surgical charges, handling denials, and ensuring compliant reimbursement.

Qualifications

• Must have orthopedic/spine coding experience and the ability to review and natively code complex operative procedure reports.
• CPC certification required and surgical billing experience.
• Experience with Commercial, Medicare, Medicaid, and secondary insurance plans.

Responsibilities

• Analyze and interpret medical information in records and assign codes (ICD-10-CM, CPT, HCPCS) per guidelines.
• Enter surgical charges with correct modifiers and ICD-10 codes.
• Interact with the practice to resolve claim denials and answer questions.
• Research coding issues using medical references to ensure maximum reimbursement and compliance.
• Identify opportunities for coding improvements and participate in programs for monitoring compliance.
• Meet or exceed productivity and quality standards.
• Take on projects as assigned by management.
• Collaborate with team and communicate with providers and staff.

Skills

Orthopedic/spine coding

Surgical billing

Claims adjudication

Commercial/Medicare/Medicaid coding

Athena experience

Education

CPC certification

Tools

Athena experience

Job description

Description

General summary of duties: Responsible for coding, billing, denials, accounts receivable and payer policy updates

Supervision received: Reports to Revenue Cycle Manager

Education: CPC certification required

Pay: $53,000 - $65,000 /annual salary (DOE)

Location: Flagstaff office (Remote considered)

Responsibilities include:

• Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines.


• Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding.


• Interact with and provide support to the practice to answer questions and resolve claim denials.


• Employ strong understanding of the encounter/billing process, and working knowledge of a Medicare, Commercial, and all other insurance plans as well as, their impact on reimbursement. Utilize medical reference resources and contacts to thoroughly research coding issues and to maintain working knowledge of payment/reimbursement systems to ensure maximum reimbursement and coding compliance.


• Identify opportunities for billing/coding improvements. Participate in developing, implementing, and reviewing programs for coding compliance monitoring, criteria for benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.


• Meet or exceed productivity and quality standards as assigned by management.


• Take responsibility for various projects as assigned by management and perform any additional/miscellaneous duties (not inclusive of job description) as requested by the management team within the scope of knowledge/ability.


• Work as a team player and communicate in a positive manner with co-workers, managers, providers, and other contacts.

Requirements

• Must have orthopedic/spine coding experience and the ability to review and natively code complex operative procedure reports.


• Athena experience preferred


• Must have CPC certification and surgical billing experience as well as claims adjudication experience.


• Must have experience with working with Commercial, Medicare, Medicaid, and secondary insurance plans.


• Must be able to adequately communicate and coach providers on proper billing practices.


• Must be familiar with current coding trends including ICD 10.


• Skills in establishing and maintaining effective working relationships with patients, medical staff, and the public.


• Work at an efficient and fast pace.


• Must be self-motivated.


• Must be highly organized and have excellent attention to detail.


• Skills in exercising initiative, judgment, discretion, and decision-making to achieve organizational objectives.

Physical/Mental Demands:

• Sitting/standing for 8-9 hours a day.


• Must be able to view computer screen for long periods.


• Requires hand-eye coordination and finger dexterity.


• Occasional stress related to workload and assisting patient/staff/physicians with problems.

About us

Since 1978, Flagstaff Bone and Joint has helped people across Northern Arizona move better, feel better, and return to the lives they love. As a successful, physician-owned orthopedic and spine practice, we combine high-quality musculoskeletal care with a workplace where employees are valued, supported, and encouraged to grow. Our collaborative, fast-paced teams share a commitment to respecting patients’ time and money while fostering a culture of excellence. If you are looking for meaningful work, opportunities to build your healthcare career, and a fun, dedicated team, we invite you to grow with FBJ.

Why you’ll enjoy working at FBJ:

• Supportive, ambitious teams that work hard, collaborate, and celebrate success together


• Modern and beautiful office setting


• Growth and professional development opportunities


• Regular social events


• On-the-job training


• A positive employee culture built on teamwork, recognition, and opportunities to grow


• Caring, compassionate leadership that values clear and transparent communication


• Join a team of 115 employees serving communities across Northern Arizona

Benefits that support you—at work and beyond:

• Medical Insurance – Cigna Healthcare (must work 30 hrs / week or more)


• Medical benefits begin the first of the month following 60 days


• Health Savings Account (H.S.A.)


• Voluntary Dental Insurance


• Voluntary Vision Insurance


• Telehealth medical care


• Voluntary Life Insurance


• $50,000 in employer-paid group life insurance at no cost to employees


• Voluntary Short-Term Disability


• 401(k) and Roth 401(k) retirement plans, after one year of employment


• Eight paid days off for holidays


• Paid time off begins immediately


• 80 hours of PTO in your first year, with 120 hours provided to you on your anniversary date


• $500 credit to be used at FBJ, if you or your family needs care with us

Finalization of hiring is contingent on a clear background check

Who we are:

• We are a well-established, private practice providing quality musculoskeletal care to Northern Arizona since 1978.


• Our center strives to provide state-of-the-art care along with comprehensive medical education and superior customer service.


• Our main location is in Flagstaff, and our secondary location is in Kingman, Arizona. We have 2 other Arizona clinic locations: Cottonwood and Show Low.


• Flagstaff Bone and Joint has 20 medical providers with 8 physicians who are all Board Certified and Fellowship trained.


• Our center provides integrated ancillary services for patient convenience including digital x-ray, ultrasound, custom bracing, durable medical equipment, EMG/nerve conduction studies, and occupational and physical therapy.


• A talented team of 115 employees committed to exceptional patient care

Our purpose: Always respect patients’ time and money while fostering a culture of excellence.