[Hiring] Coder II @PHSC

Role Description

Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a dedicated and skilled Coder to join our team remotely. This role is responsible for accurately reviewing medical records and assigning ICD-10 and CPT codes in compliance with all applicable policies and regulations. It manages patient demographics, clinical documentation, and billing data across practice management systems and hospital records to ensure proper coding and reimbursement. The position also supports and educates clinical staff and providers on documentation and coding standards to promote compliance, accuracy, and effective communication.

This is a full-time remote Monday-Friday position.

Key Responsibilities

• Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes.
• Utilizes practice management system (PMS) to accurately account for demographics and services performed for all scheduled and unscheduled surgical cases according to standard procedures and coding guidelines.
• Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures.
• Provides education and support to clinical areas regarding appropriate documentation and coding of services to achieve accurate billing. Maintains effective communication with providers concerning coding issues.

Qualifications

• High school diploma/GED or equivalent working knowledge preferred.
• Accredited by the American Health Information Management Association (CCS-P) or the American Academy of Professional Coders (CPC).
• 3-5 years of professional medical coding experience, preferably in a multi-specialty environment with experience in orthopedics, surgery, pain management, spine, or other complex procedural coding.
• Demonstrated experience reviewing operative reports and clinical documentation, assigning accurate CPT, ICD-10-CM, HCPCS, and modifiers, and resolving coding edits or documentation discrepancies.
• Experience with coding audits, payer guidelines, NCCI edits, and physician queries is strongly preferred.
• A current professional coding certification such as CPC, CCS, COC, or equivalent is preferred/required based on organizational standards.

Requirements

• Strong knowledge of CPT, ICD-10-CM, HCPCS Level II, modifiers, NCCI edits, global surgical guidelines, and payer-specific coding requirements.
• Proficient in interpreting complex operative reports and determining appropriate code selection based on the documented procedure rather than relying solely on procedure titles.
• Strong research, analytical, and problem-solving skills are essential, along with attention to detail and a commitment to coding accuracy and compliance.
• Effective written and verbal communication skills, including the ability to clearly communicate coding concerns, request documentation clarification, and collaborate professionally with providers, Coding leadership, Authorization, Revenue Cycle, and other operational teams.
• Able to work independently with limited supervision, manage a consistent coding workload while meeting productivity and accuracy expectations, and appropriately escalate complex or uncertain cases.
• Recognize documentation deficiencies, identify potential compliance concerns, research unfamiliar procedures, apply coding guidelines consistently, and adapt to multiple specialties and changing payer requirements.
• Demonstrate sound judgment, accountability, organization, critical thinking, and the ability to prioritize competing demands while maintaining quality and timely turnaround.

Benefits

• Comprehensive benefits package including medical, dental, and vision plans.
• 100% employer-paid life insurance.
• 401(k) with employer match.
• Benefits begin the first of the month following hire date (for full-time employees).
• Generous paid sick and vacation time.
• 7 paid holidays annually.
• Opportunities for growth and advancement.
• Employee referral reward program.