[Hiring] Medical Coding Specialist @MedHQ

Role Description

The Office-Based Orthopedic Coder is responsible for reviewing and accurately assigning ICD-10-CM, CPT, and HCPCS codes for orthopedic surgeries and office services. This position ensures compliance with all federal, state, and payer regulations while maximizing appropriate reimbursement. The coder works closely with physicians, clinical staff, and billing teams to clarify documentation, resolve coding issues, and support the overall revenue cycle.

Key Responsibilities

• Review provider documentation from office visits, surgeries, imaging interpretations, injections, and other orthopedic services.
• Assign appropriate ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes according to official coding guidelines and payer rules.
• Verify coding accuracy and completeness to support correct claim submission and reduce denials.
• Query providers when documentation is incomplete, unclear, or inconsistent with coding guidelines.
• Keep current with orthopedic coding updates, payer policy changes, and compliance regulations.
• Collaborate with the billing team to resolve claim rejections, denials, and coding-related issues.
• Maintain confidentiality of patient information in compliance with HIPAA regulations.
• Participate in coding audits and provide feedback to improve documentation and coding accuracy.
• Assist in educating providers and staff on documentation improvement related to orthopedic coding.

Qualifications

• High school diploma or equivalent.
• Certification as a Certified Professional Coder (CPC), Certified Orthopaedic Surgery Coder (COSC), or equivalent from AAPC/AHIMA.
• Minimum of 2 years of coding experience, preferably in orthopedics or a related specialty.

Preferred Qualifications

• Knowledge of office-based orthopedic procedures, imaging, and injection coding.
• Familiarity with payer-specific orthopedic coding guidelines.
• Experience with EHR and coding software systems.

Skills & Competencies

• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.
• Excellent attention to detail and accuracy.
• Strong communication skills for interacting with providers and team members.
• Ability to work independently and meet deadlines.
• Knowledge of medical terminology, anatomy, and physiology (orthopedic focus preferred).

Work Environment

• Standard work hours, with possible flexibility based on operational needs.
• Mostly sedentary position with extended computer use.

Benefits

• Employer sponsored Major Medical
• Employer sponsored Dental
• Employer sponsored Vision
• Accidental Death and Disability insurance
• Short term disability
• 4.5% 401K matching
• Flexible spending account
• Generous paid time off
• This is a remote position.

Applicants must be legally authorized to work in the United States. We are unable to sponsor or take over sponsorship of an employment visa at this time.