Orthopedics Coding & Preauthorization Manager

My Ideal Recruiter; Chamblee (GA); On-site; USD 90,000 - 130,000; Full time

Job summary

My Ideal Recruiter seeks a hands-on coding leader for an orthopedic surgical practice in Georgia. You will own CPT coding accuracy for surgical cases and collaborate with the collections function to improve reimbursement outcomes.

Responsibilities include managing prior authorizations, navigating commercial and attorney-driven personal injury cases, and building an in-house coding team as volumes grow. This role is on-site five days a week and reports to practice leadership.

Qualifications

• Certification CPC or CCS preferred.
• Experience leading or mentoring a coding/billing team.
• Orthopedic surgical coding including spine and extremities.
• Familiarity with personal injury billing scenarios.

Responsibilities

• Drive day-to-day accuracy of CPT coding for surgical cases, ensuring proper first-time coding.
• Partner with collections as a co-owner of billing outcomes and reimbursement.
• Manage the prior authorization process for upcoming procedures.
• Adapt coding approaches for commercial vs. attorney-driven injuries while staying compliant.
• Lead and grow an in-house coding team as volume increases.
• Provide guidance on edge cases and answer coding questions across the practice.

Skills

Orthopedic coding

Team leadership

Problem solving

Attention to detail

Education

CPC or CCS certification

Job description

A growing orthopedic surgical practice is looking for a hands‑on coding leader to take ownership of coding accuracy and partner with the collections function to strengthen reimbursement outcomes. This is a great fit for someone who has spent real time in orthopedic coding, is comfortable navigating both standard insurance billing and attorney‑driven personal injury claims, and wants to build out a coding team as the practice scales.

What You’ll Own

• Drive day‑to‑day accuracy of CPT coding for surgical cases, making sure claims go out coded correctly the first time.
• Partner closely with the collections lead as a true co‑owner of billing and collections outcomes - this is a shared function, not a solo one, and you’ll bring feedback and ideas to improve it.
• Manage the prior authorization process for upcoming surgical procedures.
• Move fluidly between coding approaches depending on claim type - commercial/insurance versus attorney‑driven personal injury cases - while staying compliant and defensible.
• Lead, train, and grow a small in‑house medical coding team that is expected to expand as volume increases.
• Apply sound judgment to coding edge cases rather than rigid, one‑size‑fits‑all rule application.
• Act as the go‑to person for coding questions across the practice.

What You Bring

• Solid background in orthopedic surgical coding, covering both spine and extremities.
• Comfortable working both insurance‑based and attorney/personal‑injury billing scenarios.
• Medical coding certification (CPC, CCS, or equivalent) preferred.
• Experience leading or mentoring a coding/billing team.
• A flexible, solutions‑first mindset - you look for the right compliant path forward rather than defaulting to "that's not how it's done."
• On‑site, five days a week.
• Reports directly to practice leadership.