Job description
This is a remote position
We are seeking a highly motivated and dedicated coding professional to join our team. The ideal candidate must have at least 5 years of coding experience for physician practices, with various surgical specialties, with a focus in orthopedic surgeries, as well as E/M. The position requires one to be resourceful, organized, and extremely driven.
The ideal candidate will bring deep expertise in surgical and outpatient coding, strong knowledge of payer guidelines, and proven experience working with denials related to orthopedic and neurosurgical services.
Key Responsibilities:
- Resolve Claim Edits and Denials
by reviewing clinical documentation, identifying root causes, correcting coding or modifier issues, and submitting appeals or corrected claims as needed.
- Review and Assign Accurate CPT, ICD-10-CM, and HCPCS Codes
for orthopedic and neurosurgical procedures, including inpatient and outpatient surgeries and office visits.
- Analyze and Code Surgical Cases
using detailed operative reports, ensuring adherence to coding guidelines, NCCI edits, payer policies, and documentation standards.
- Evaluate Office Visit Documentation
to confirm appropriate E/M levels and ensure documentation supports the billed services.
- Use Coding and Billing Systems
such as encoder software, EMRs (e.g., Epic, Cerner), and billing platforms to perform daily work efficiently and accurately. Also the ability to code surgical cases without an encoder, using book and/or Codify.
- Stay Informed on Coding Updates and Compliance Standards
through continuous education and participation in relevant training or webinars.
Qualifications:
- Required Certifications:
CPC, CCS, or equivalent coding credential (AAPC or AHIMA)
- Experience:
- Minimum 5 years of medical coding experience in a professional or facility setting
- At least 2 years of experience specifically coding orthopedic and neurosurgery services
- Proven experience managing claim denials and coding-related edits
- Experience in Athena is preferred
- Knowledge & Skills:
- In-depth knowledge of CPT, ICD-10-CM, HCPCS, modifiers, and medical terminology
- Strong understanding of NCCI edits, payer-specific billing rules, and LCD/NCD guidelines
- Excellent attention to detail, analytical thinking, and communication skills
- Ability to work independently and meet productivity and accuracy standards
About AAPC:
AAPC (www.aapc.com) is the world’s largest and fastest-growing training, certification, and solutions association in healthcare.
AAPC Values:
DRIVEN | Self-starts and stays highly motivated to achieve ambitious goals. Shares contagious energy and enthusiasm liberally. Takes initiative without always being directed. Demonstrates confidence in decision-making and effectively balances autonomy and authority with accountability.
HUMBLE | Learns, adapts, and improves relentlessly. Seeks feedback without insecurity and implements coaching. Recognizes others’ contributions gratefully. Approaches work and relationships with an abundance mentality. Places the needs of others above self.
TRANSPARENT| Integrity-centered, honest, truthful, and trustworthy in all aspects of work. Keeps commitments to external and internal parties. Holds self strictly accountable, valuing the trust placed in them by others.
SUPPORTIVE | Empowers and uplifts others. Listens actively and responds with empathy and understanding. Prioritizes well-being and growth of team members and customers ahead of own interest. Faces challenges together, believing in collective strength and unity.
INNOVATIVE | Entrepreneurial spirit with a scrappy mentality. Dreams big, sees opportunity, pursues full potential, and finds ways to accomplish the impossible. Rolls up sleeves and does real work. Works quickly, intelligently, and flexibly.
What we Offer
- Compensation commensurate with experience
- Comprehensive benefits package including medical, dental and vision insurance
- Health Savings Account
- Generous PTO and Holiday Pay
- 401(k) retirement plan
- Remote/virtual-office consideration
AAPC is an Equal Opportunity Employer.
This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, disability, religion, national origin or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above listed items. We are an Equal Opportunity Employer.
We are an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, disability, religion, national origin, or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above-listed items.
