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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in ICD-10 and CPT coding, with a strong focus on orthopedic procedures and denial management. Maintains up-to-date knowledge of coding practices and regulatory changes while effectively resolving coding-related issues.
Highest-signal resume keywords
CPC CertificationICD-10-CM CodingOrthopedic Surgery CodingEClinicalWorks ExperienceDenial Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ICD-10 CodingCPT CodingModifier ApplicationCharge EntryCoding AuditsE/M GuidelinesEncoder/Grouper ToolsClaim Edit ConceptsDenial ResolutionDocumentation Standards
Soft Skills
Independent WorkProblem SolvingAttention to Detail
Tools & Technologies
EClinicalWorksEHR Workflows
Certifications & Qualifications
CPCCOCCCS-P
Industry Keywords
OrthopedicsMusculoskeletal ProceduresPayer Policy ResearchHIPAA ComplianceAudit Expectations
About the role
Key responsibilities & impact- Accurately assign and appropriately sequence ICD-10 and CPT codes and all applicable modifiers
- Contact clients as appropriate when documentation in the medical record is inadequate, ambiguous or unclear for coding purposes
- Monitor regulatory and payer changes as they apply to diagnostic and procedure coding
- Research and resolve coding related system edits, payer rejections and insurance denials
- Identify system edit, payer rejection, and insurance denial trends for client policy and procedure improvement
- Maintain up to date knowledge of the current changes of coding practices by continuing education and reading resource material
- Other innovative and progressive duties as assigned
Requirements
What you’ll need- Active credentials such as CPC, COC, or CCS-P (coding certification must be role-aligned)
- 3+ years of experience in orthopedics physician coding
- Experience with charge entry and coding-related denial resolution
- Experience with eClinicalWorks preferred
- Experience with Orthopedic surgery, office visits, imaging, and musculoskeletal procedures preferred
- Experience with coding audits, second-level reviews, and coder coaching preferred
- Familiarity with denial management, payer policy research, and appeals support preferred
- Strong knowledge of ICD-10-CM, PCS, CPT, HCPCS, modifiers, and E/M guidelines
- Experience with encoder/grouper tools, EHR workflows, and claim edit concepts (e.g., NCCI)
- Experience coding without encoder/grouper tools
- Working knowledge of HIPAA, documentation standards, and audit expectations
- Ability to work independently in a remote, metric-driven environment
Benefits
Comp & perks- Access to a 401(k) Retirement Savings Plan
- Comprehensive Medical, Dental, and Vision Coverage
- Paid Time Off
- Paid Holidays
- Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services
