Orthopedic Care Partners

Medical Billing and Coding

• Responsible for reviewing clinical documentation and accurately assigning CPT, ICD-10, and HCPCS codes and modifiers for orthopedic procedures, services, and diagnoses.
• Ensures proper billing and compliance with regulatory requirements.
• Collaborate with orthopedic providers to clarify documentation and ensure complete, accurate coding.
• Audit and verify codes for accuracy prior to claim submission to reduce denials and improve revenue cycle performance.
• Monitor and stay current with updates to coding guidelines and payer rules.

Certified Professional Coder – Orthopedics

Human Resources

• Responding timely and providing administrative support to nurse case managers, adjusters and The Orthopaedic Institute clinic staff.
• Schedule new work comp injury appointments in coordination with adjusters, nurse case managers or employers.
• Complete surgery authorization forms, testing authorization and obtain pre-cert forms from adjusters and case managers.
• Proactively communication with clinic staff for scheduling of patients, obtaining patient demographics and verifying physician orders.
• Follow up on any surgery, testing or DME for pending authorizations.
• Other duties as assigned.

Certified Professional Coder – Orthopedics

Workers Compensation Specialist