Orthopedic Coding Specialist

Job Summary

A company is looking for a Medical Coding Specialist - Orthopedic & Neurosurgery.

Key Responsibilities:

• Resolve claim edits and denials by reviewing clinical documentation and submitting appeals as needed
• Review and assign accurate CPT, ICD-10-CM, and HCPCS codes for orthopedic and neurosurgical procedures
• Analyze and code surgical cases using detailed operative reports while ensuring adherence to coding guidelines

Qualifications:

• Required certifications: CPC, CCS, or equivalent coding credential
• Minimum 5 years of medical coding experience in a professional or facility setting
• At least 2 years of experience specifically coding orthopedic and neurosurgery services
• Proven experience managing claim denials and coding-related edits
• Experience in Athena is preferred