AAPC
Medical Coding Specialist – Orthopedic & Neurosurgery
AAPC, Salt Lake City, Utah, United States, 84193
Medical Coding Specialist – Orthopedic & Neurosurgery
Join to apply for the Medical Coding Specialist – Orthopedic & Neurosurgery role at AAPC.
This is a remote position.
We are seeking a highly motivated and dedicated coding professional to join our team. The ideal candidate must have at least 5 years of coding experience for physician practices, with a focus in orthopedic surgeries and E/M. The position requires one to be resourceful, organized, and extremely driven.
Key Responsibilities
Resolve Claim Edits and Denials by reviewing clinical documentation, identifying root causes, correcting coding or modifier issues, and submitting appeals or corrected claims as needed.
Review and assign accurate CPT, ICD-10-CM, and HCPCS codes for orthopedic and neurosurgical procedures, including inpatient and outpatient surgeries and office visits.
Analyze and code surgical cases using detailed operative reports, ensuring adherence to coding guidelines, NCCI edits, payer policies, and documentation standards.
Evaluate office visit documentation to confirm appropriate E/M levels and ensure documentation supports the billed services.
Use coding and billing systems such as encoder software and EMRs (e.g., Epic, Cerner) to perform daily work efficiently and accurately. Also have the ability to code surgical cases without an encoder using book or Codify.
Stay informed on coding updates and compliance standards through continuous education and participation in relevant training or webinars.
Qualifications
Required Certifications:
CPC, CCS, or equivalent coding credential (AAPC or AHIMA)
Experience:
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
Knowledge & Skills:
In-depth knowledge of CPT, ICD-10-CM, HCPCS, modifiers, and medical terminology
Strong understanding of NCCI edits, payer-specific billing rules, and LCD/NCD guidelines
Excellent attention to detail, analytical thinking, and communication skills
Ability to work independently and meet productivity and accuracy standards
About AAPC AAPC (www.aapc.com) is the world’s largest and fastest-growing training, certification, and solutions association in healthcare.
Values
DRIVEN – Self-starts and stays highly motivated to achieve ambitious goals.
HUMBLE – Learns, adapts, and improves relentlessly.
TRANSPARENT – Integrity-centered, honest, truthful, and trustworthy in all aspects of work.
SUPPORTIVE – Empowers and uplifts others with empathy and understanding.
INNOVATIVE – Entrepreneurial spirit with a scrappy mentality.
Benefits
Compensation commensurate with experience
Comprehensive benefits package including medical, dental, and vision insurance
Health Savings Account
Generous PTO and Holiday Pay
401(k) retirement plan
Remote/virtual-office consideration
AAPC is an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, disability, religion, national origin or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above listed items.
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This is a remote position.
We are seeking a highly motivated and dedicated coding professional to join our team. The ideal candidate must have at least 5 years of coding experience for physician practices, with a focus in orthopedic surgeries and E/M. The position requires one to be resourceful, organized, and extremely driven.
Key Responsibilities
Resolve Claim Edits and Denials by reviewing clinical documentation, identifying root causes, correcting coding or modifier issues, and submitting appeals or corrected claims as needed.
Review and assign accurate CPT, ICD-10-CM, and HCPCS codes for orthopedic and neurosurgical procedures, including inpatient and outpatient surgeries and office visits.
Analyze and code surgical cases using detailed operative reports, ensuring adherence to coding guidelines, NCCI edits, payer policies, and documentation standards.
Evaluate office visit documentation to confirm appropriate E/M levels and ensure documentation supports the billed services.
Use coding and billing systems such as encoder software and EMRs (e.g., Epic, Cerner) to perform daily work efficiently and accurately. Also have the ability to code surgical cases without an encoder using book or Codify.
Stay informed on coding updates and compliance standards through continuous education and participation in relevant training or webinars.
Qualifications
Required Certifications:
CPC, CCS, or equivalent coding credential (AAPC or AHIMA)
Experience:
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
Knowledge & Skills:
In-depth knowledge of CPT, ICD-10-CM, HCPCS, modifiers, and medical terminology
Strong understanding of NCCI edits, payer-specific billing rules, and LCD/NCD guidelines
Excellent attention to detail, analytical thinking, and communication skills
Ability to work independently and meet productivity and accuracy standards
About AAPC AAPC (www.aapc.com) is the world’s largest and fastest-growing training, certification, and solutions association in healthcare.
Values
DRIVEN – Self-starts and stays highly motivated to achieve ambitious goals.
HUMBLE – Learns, adapts, and improves relentlessly.
TRANSPARENT – Integrity-centered, honest, truthful, and trustworthy in all aspects of work.
SUPPORTIVE – Empowers and uplifts others with empathy and understanding.
INNOVATIVE – Entrepreneurial spirit with a scrappy mentality.
Benefits
Compensation commensurate with experience
Comprehensive benefits package including medical, dental, and vision insurance
Health Savings Account
Generous PTO and Holiday Pay
401(k) retirement plan
Remote/virtual-office consideration
AAPC is an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, disability, religion, national origin or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above listed items.
#J-18808-Ljbffr