Certified Coder

Job Description

Who We Are

As the largest and most comprehensive orthopaedic team in the state, we’ve combined the medical expertise of the state’s finest orthopaedic and musculoskeletal surgeons, specialists, and research pioneers. And along the continuum of care, every provider we work with feels a compelling commitment to leadership in education, innovation and research, as well as a dedication and desire to put each patient first.

Why Join Us?

Position Summary

The Certified Coder will be responsible for accurately reviewing, coding, and abstracting clinical information from medical records for orthopaedic services. This role ensures that coding and documentation meet all regulatory and compliance guidelines to optimize reimbursement and minimize denials.

Duties and Responsibilities

Review and analyze clinical documentation for accuracy and completeness.

Assign CPT, ICD-10-CM, and HCPCS codes for orthopaedic procedures, diagnoses, and services based on provider documentation.

Ensure coding is in compliance with federal and state regulations, payer guidelines, and internal policies.

Collaborate with physicians and clinical staff to clarify documentation as needed.

Monitor and resolve coding edits and denials in coordination with billing and AR staff.

Stay current with changes in coding guidelines, payer policies, and orthopaedic procedures.

Participate in audits and quality assurance reviews to ensure coding accuracy.

Maintain patient confidentiality and adhere to HIPAA regulations at all times.

All other duties as directed by MOS Leadership.

Education, Experience, Licenses, and Certifications

High school diploma or equivalent required; Associate’s degree or higher preferred.

Certification required: CPC (Certified Professional Coder), CCS, or equivalent credential.

Minimum of 2 years of medical coding experience, preferably in an orthopaedic or surgical specialty setting.

Full-time