Profee Surgical Coder (CPC) - Ortho

Vertek Solutions; Eskdale (WV); On-site; USD 55,000 - 75,000; Full time

Job summary

Vertek Solutions is seeking an experienced Certified Professional Coder with strong outpatient orthopedic coding experience. The role focuses on professional-fee coding for Orthopedic surgical services, ensuring accurate ICD-10-CM and CPT coding based on documentation and current guidelines.

The candidate will review documentation for proper coding, assist with reimbursement follow-up and AR activities, and ensure compliance with Medicare, Medicaid, and other payer regulations.

Qualifications

• Strong recent experience with Orthopedic Surgery coding.
• Deep knowledge of ICD-10-CM and CPT coding.
• Experience coding for professional/physician services.
• Familiarity with physician billing and reimbursement processes.
• Working knowledge of Medicare and Medicaid regulations.
• Professional coding certifications preferred (CPC/CCA/CCS-P/CPC-H, RHIA, RHIT, or related).

Responsibilities

• Perform professional-fee coding for Orthopedic surgical services.
• Assign accurate ICD-10-CM and CPT codes based on documentation and guidelines.
• Review documentation to ensure correct coding and billing.
• Support reimbursement follow-up and accounts receivable activities.
• Maintain compliance with payer regulations and coding guidelines.
• Stay current on coding guidelines and documentation requirements.

Skills

Orthopedic surgery coding

Meditech experience

Physician coding experience

ICD-10-CM and CPT knowledge

Physician billing & reimbursement

Medicare/Medicaid regulations

Education

High school diploma or GED; associate degree preferred

Tools

Meditech

Job description

Job DescriptionWe are seeking an experienced Certified Professional Coder with strong professional-fee outpatient surgical coding experience in Orthopedics. This position requires hands-on experience assigning ICD-10-CM and CPT codes for physician services, with a strong emphasis Orthopedic Surgery coding.

One year contract

Key Responsibilities

• Perform professional-fee coding for Orthopedic surgical services.
• Assign accurate ICD-10-CM and CPT codes based on documentation and current coding guidelines.
• Review documentation to ensure appropriate coding and billing.
• Support reimbursement follow-up, accounts receivable, and collection activities.
• Maintain compliance with Medicare, Medicaid, and other payer regulations.
• Stay current on coding guidelines, documentation requirements, and payer regulations.

Required Qualifications

• Strong recent experience with Orthopedic Surgery coding.
• Meditech experience
• Professional/physician coding experience.
• Strong knowledge of ICD-10-CM and CPT.
• Knowledge of physician billing and reimbursement.
• Knowledge of Medicare and Medicaid regulations.
• Coding certification: CPC, CCA, CCS-P, CPC-H, RHIA, RHIT, or related certification.
• Minimum 2 years of coding experience; 5+ years preferred.
• High school diploma or GED required; associate degree or higher preferred.

This role is heavily focused on Orthopedic Surgery. Candidates should have direct, hands-on experience coding these specialties.