Remote Medical Coder II – ICD-10/CPT Specialist

OrthoVirginia Inc; Richmond (VA); On-site; USD 29,000 - 43,000; Full time

Benefits offered by this job

e-Verify

Job summary

OrthoVirginia is seeking a Medical Coding Specialist to ensure accurate ICD-10, CPT, and HCPCS coding for outpatient and surgical cases across Virginia. You will analyze records, resolve pre-bill errors, and support clinic staff with coding questions in a fast-paced environment.

Strong knowledge of medical terminology, billing processes, and MS Office is required. This role offers diverse locations and both full-time and part-time opportunities in a leading orthopedic network.

Qualifications

• Proficiency in medical terminology.
• Thorough understanding of ICD-10 and CPT coding principles.
• Strong communication skills.
• Effective problem-solving abilities.
• Excellent organizational and time management skills.
• Knowledge of physician billing and collections processes.
• Ability to multitask in a fast-paced environment.
• Highly accurate data entry skills with keen attention to detail.
• Ability to maintain confidentiality of patient and employee information.
• Proficiency in Microsoft Office, practice management systems.

Responsibilities

• Analyze and interpret patient medical records, visit encounters, and reports to assign and sequence appropriate codes upon reviewing billed information.
• Ensure ICD-10, CPT, and HCPCS codes correctly reflect the documented records.
• Research, analyze, and resolve routine pre-bill errors and edits for provider-based outpatient and surgical billing.
• Determine appropriate course of action while organizing and prioritizing tasks.
• Report coding and documentation trends to leadership regarding compliance concerns.
• Work independently, efficiently prioritizing workflow while maintaining accuracy.
• Demonstrate strong problem-solving skills with clear verbal and written communication.
• Assist clinic and billing staff with coding-related questions.
• Provide support in interpreting denials, conducting reviews, and determining appropriate next steps for coding categories such as medical necessity, inclusivity, bundling, non-covered services, and cases where documentation does not support the claim.
• Ensure compliance with State, Federal, and Insurance regulations concerning coding for consultations, diagnoses, and surgical procedures.
• Seek guidance from managers, physicians, or content experts when needed.
• Perform other duties as assigned.

Skills

Medical terminology

ICD-10 coding

CPT coding

Communication

Problem solving

Organization

Billing processes

Data entry

Confidentiality

Microsoft Office

Practice management systems

Tools

MS Office

Practice management systems

Job description

OrthoVirginia is seeking a Medical Coding Specialist to ensure accurate ICD-10, CPT, and HCPCS coding for outpatient and surgical cases across Virginia. You will analyze records, resolve pre-bill errors, and support clinic staff with coding questions in a fast-paced environment.

Strong knowledge of medical terminology, billing processes, and MS Office is required. This role offers diverse locations and both full-time and part-time opportunities in a leading orthopedic network.