Certified Medical Coder

Excelsior OrthopaedicsEggertsville, NY
Remote

About The Position

Offering Quarterly Performance-Based Bonus Opportunities At Excelsior Orthopaedics, our therapy team is an integral part of a collaborative, high-performing environment where therapists work side-by-side with orthopaedic surgeons, sports medicine physicians, and athletic trainers. If you’re passionate about delivering high-quality patient care, building strong clinical relationships, and growing your career in orthopaedics - Excelsior is the place for you. We know Coders are looking for more than just a job - you want growth, support, and the tools to succeed. What Sets Us Apart: Company-issued laptop for streamlined documentation Collaborative environment Opportunity to work fully remote after training Opportunity to become a part of organization that is team-focused!

Requirements

  • HS diploma or GED required.
  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification is required.
  • Proven experience (1+ years) as a Coder or in a similar role required.
  • Demonstrated ability and understanding of an electronic health record (EHR/EMR) and coding software is preferred.
  • Knowledge of orthopedic, physical therapy, or podiatry medical terminology is desirable.
  • Ability to work independently and collaboratively in a fast-paced, team-oriented environment.
  • Computer skills required with minimum proficiency in Microsoft Word, Excel, Outlook, and Teams.

Nice To Haves

  • Associates degree preferred

Responsibilities

  • Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic services, including office visits, imaging, physical therapy, and surgical procedures.
  • Ensuring coding practice meets federal and state guidelines, payer-specific requirements, and company policies.
  • Communicate with providers and clinical staff to ensure accurate documentation to produce accurate coding.
  • Monitor coding edits, denials, and rejections; assist in appeals and corrections as needed.
  • Collaborate with the billing team to resolve coding and reimbursement issues.
  • Stay current with coding guidelines, orthopedic-specific regulations, and payer updates.
  • Accurately enter and itemize charge data into the billing system, ensuring completeness and adherence to internal policies.
  • Assist with verifying and applying correct CPT, ICD-10, and HCPCS codes based on provider documentation; escalate complex coding issues to certified coders when needed.
  • Prepare, process, and transmit insurance claims (electronic and paper) in accordance with payer requirements and deadlines.
  • Collect and verify all the information necessary to complete the billing process, including patient demographics, insurance coverage, and provider charge details.
  • Evolve in your role when performing supplemental responsibilities as assigned.

Benefits

  • Quarterly Performance-Based Bonus Opportunities
  • Guaranteed 3% company contribution to your 401(k)
  • Discretionary profit-sharing contribution annually (after 1 year of service and meeting eligibility requirements)
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