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Certified Medical Coder
EXCELSIOR ORTHOPAEDICSCoder reviewing and assigning CPT, ICD-10, and HCPCS codes for Excelsior Orthopaedic Physicians. Responsible for documentation compliance and coding accuracy in a remote setting.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in coding practices, including accurate assignment of CPT, ICD-10, and HCPCS codes, while ensuring compliance with federal regulations and payer policies. Proficient in collaborating with clinical staff and billing teams to resolve coding and reimbursement issues in a fast-paced environment.
Highest-signal resume keywords
CPT CodingICD-10 CodingHCPCS CodingCertified Professional Coder (CPC)Electronic Health Record (EHR/EMR)
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Coding ComplianceClinical Data AbstractionCharge Data EntryMedical TerminologyCoding Software Proficiency
Soft Skills
Team CollaborationAccountabilityCommunication
Tools & Technologies
Microsoft WordMicrosoft ExcelMicrosoft OutlookMicrosoft Teams
Certifications & Qualifications
Certified Professional Coder (CPC)Certified Coding Specialist (CCS)
Industry Keywords
Orthopedic CodingPayer PoliciesSurgical ReportsBilling ProcessInsurance Claims
About the role
Key responsibilities & impact- The Coder is responsible for reviewing, interpreting, and assigning appropriate CPT, ICD-10, and HCPCS codes, and ensuring compliance with federal regulations and payer policies.
- This position is responsible for reviewing operative reports for all procedures performed by Excelsior Orthopaedic Physicians for completeness and to abstract and code clinical data, using standard classification systems.
- Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day.
- Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic services, including office visits, imaging, physical therapy, and surgical procedures.
- Ensuring coding practice meets federal and state guidelines, payer-specific requirements, and company policies.
- Communicate with providers and clinical staff to ensure accurate documentation to produce accurate coding.
- Monitor coding edits, denials, and rejections; assist in appeals and corrections as needed.
- Collaborate with the billing team to resolve coding and reimbursement issues.
- Stay current with coding guidelines, orthopedic-specific regulations, and payer updates.
- Accurately enter and itemize charge data into the billing system, ensuring completeness and adherence to internal policies.
- Assist with verifying and applying correct CPT, ICD-10, and HCPCS codes based on provider documentation; escalate complex coding issues to certified coders when needed.
- Prepare, process, and transmit insurance claims (electronic and paper) in accordance with payer requirements and deadlines.
- Collect and verify all the information necessary to complete the billing process, including patient demographics, insurance coverage, and provider charge details.
- Evolve in your role when performing supplemental responsibilities as assigned.
Requirements
What you’ll need- Associates degree preferred; HS diploma or GED required.
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification is required.
- Proven experience (1+ years) as a Coder or in a similar role required.
- Demonstrated ability and understanding of an electronic health record (EHR/EMR) and coding software is preferred.
- Knowledge of orthopedic, physical therapy, or podiatry medical terminology is desirable.
- Ability to work independently and collaboratively in a fast-paced, team-oriented environment.
- Computer skills required with minimum proficiency in Microsoft Word, Excel, Outlook, and Teams.
Benefits
Comp & perks- Company-issued laptop for streamlined documentation
- Collaborative environment
- Opportunity to work fully remote after training
- Opportunity to become a part of organization that is team-focused!
- Guaranteed 3% company contribution to your 401(k)
- Discretionary profit-sharing contribution annually (after 1 year of service and meeting eligibility requirements)