Profee Surgical Coder (CPC) - Ortho

Vertek Solutions, Inc.; United States; On-site; USD 34,000 - 55,000; Part time

Job summary

Vertek Solutions, Inc. is seeking an experienced Certified Professional Coder with strong outpatient orthopedic surgical coding experience to join our team. The role emphasizes hands-on ICD-10-CM and CPT coding for physician services in Orthopedic Surgery and requires current knowledge of payer regulations.

The one-year contract focuses on accurate coding, documentation review, and support for reimbursement and collections, ensuring compliance with Medicare, Medicaid, and other payers.

Qualifications

• Experience in professional/physician coding, focusing on orthopedics.
• Proficiency with ICD-10-CM and CPT coding guidelines.
• Understanding of Medicare/Medicaid regulations and payer policies.

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, accounts receivable, and collection activities.
• Maintain compliance with Medicare, Medicaid, and other payer regulations.
• Stay current on coding guidelines, documentation requirements, and payer regulations.

Skills

Orthopedic Surgery coding

ICD-10-CM and CPT knowledge

Physician billing & reimbursement

Coding certifications (CPC/CCA/CCS-P/C

2+ years coding experience

5+ years preferred

Education

High school diploma or GED

Associate degree or higher preferred

Tools

Meditech experience

Job description

We 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.