Orthopedic Surgical Coder | Charge Capture & Revenue Integrity

OrthoVirginia; Westchester (IL); On-site; USD 33,000 - 50,000; Full time

Job summary

OrthoVirginia seeks a Certified Orthopedic Surgical Coder to translate orthopedic procedures, implants, and supplies into precise codings and charges. You will collaborate with the Operatory, Materials Management, clinical, and Revenue Cycle teams to ensure revenue integrity and capture all billable items.

This on-site role requires orthopedic surgical knowledge, CPT/HCPCS proficiency, and EHR experience, with a focus on preventing lost charges and supporting accurate reimbursement.

Qualifications

• Current coding credential such as CPC, CCS-P, CRC, or equivalent.
• Orthopedic experience with knowledge of surgical procedures, workflows, implants, and supplies.
• Experience in a surgical setting, such as an ASC, hospital OR, or office-based operatory.
• Working knowledge of CPT, HCPCS, modifiers, and surgical coding practices.
• Experience with EHR systems and strong analytical, problem-solving, and communication skills.

Responsibilities

• Review completed orthopedic surgical cases to ensure procedures, implants, supplies, and other billable items are accurately captured.
• Review operative documentation and apply appropriate CPT, HCPCS, and modifier coding.
• Reconcile operative records with cut sheets, purchase orders, bill-only documentation, and other supporting documentation to verify implant and supply usage.
• Partner with surgeons and clinical teams to clarify procedures, address missing or conflicting documentation, and resolve discrepancies before claims move forward.
• Collaborate with Materials Management to support accurate implant, consignment, inventory, and bill-only workflows.
• Audit surgical cases for coding, documentation, and charge accuracy to identify missing charges and help prevent revenue loss.
• Confirm surgical assistant and other applicable billing requirements.
• Maintain accurate and timely information within the EHR and inventory management systems.
• Partner across Operatory, Materials Management, and Revenue Cycle to resolve discrepancies and identify opportunities to improve charge capture, revenue integrity, and processes.

Skills

CPC/CCS-P/CRC

Orthopedic surgery

Surgical coding

CPT/HCPCS/modifiers

EHR systems

Analytical skills

Communication

Epic

Tools

Epic

Job description

OrthoVirginia seeks a Certified Orthopedic Surgical Coder to translate orthopedic procedures, implants, and supplies into precise codings and charges. You will collaborate with the Operatory, Materials Management, clinical, and Revenue Cycle teams to ensure revenue integrity and capture all billable items.

This on-site role requires orthopedic surgical knowledge, CPT/HCPCS proficiency, and EHR experience, with a focus on preventing lost charges and supporting accurate reimbursement.