Orthopedic Coding Specialist

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