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Orthopedic Coding Specialist II
OU HealthOrthopedic Professional Coding Specialist II handling complex coding across multiple specialties. Requires coding expertise and independent problem-solving skills for efficient documentation compliance.
About the role
Key responsibilities & impact- Independently performs complex professional coding across multiple specialties and settings
- Code complex professional encounters and procedures; ensure correct sequencing, modifiers, E/M level selection, and documentation alignment
- Advanced expertise in ICD‑10‑CM, CPT®, HCPCS, and modifiers; strong E/M coding proficiency and payer policy interpretation
- Resolve coding-related edits and denials by identifying root cause, coordinating documentation clarification, and supporting rebilling actions as applicable
- Apply payer medical policies, NCCI concepts, global service considerations, and telehealth coding rules as relevant to pro fee claims.
- Provide real‑time guidance to peers on standard coding scenarios; promote consistency through best‑practice sharing
- Participate in internal quality review programs and implement education/corrective actions based on findings
- Proficiency in Epic professional coding work queues and encoder tools; ability to efficiently review documentation in the EHR across settings
- Analytical problem solving for denial/edits prevention; ability to identify documentation improvement opportunities and support compliant query workflows
- Working knowledge of risk adjustment concepts and HCC validation where applicable to supported populations
Requirements
What you’ll need- High School diploma or GED required
- At least 3 years of experience physician/provider coding required
- CPC or CCS-P required
- Epic and Encoder Pro experience preferred
- COSC Certification from AAPC would be the ultimate secondary certification to move your application to the top of the list.
Benefits
Comp & perks- PTO
- 401(k)
- medical and dental plans
- flexible shifts
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10-CMCPTHCPCSE/M codingpayer policy interpretationcoding-related edits resolutiondocumentation improvementrisk adjustment conceptsHCC validationtelehealth coding
Soft Skills
analytical problem solvingpeer guidancebest-practice sharingquality review participationeducation implementationcorrective actions
Certifications
CPCCCS-PCOSC Certification