Certified Professional Coder- Orthopedic

Tryon Medical Partners • Charlotte, NC

1d

About The Position

The Certified Professional Coder performs charge review and coding for physician services, accurately interpreting clinical documentation and entering appropriate CPT, ICD-10, and modifier information into the billing system. This full-time position supports the RCM team and is hybrid or remote, Monday through Friday, from 8:00 a.m. to 5:00 p.m. Coding certification is required.

The coder reviews physician documentation and clinical activity to ensure services are accurately coded, captured for billing, and compliant with payer and regulatory guidelines. The position works with physicians, practice management, team members, and Reimbursement staff to resolve coding and billing questions and keep charge processing on schedule.

Requirements

• High school diploma or GED.
• At least three years of experience with CPT and ICD-10 coding of physician services.
• Coding certification; maintain active certification and required continuing education units during employment.
• Advanced working knowledge of medical terminology, anatomy, and physiology.
• Knowledge of and ability to apply payer-specific coding, bundling, and modifier rules.
• Understanding of and familiarity with regulatory guidelines, including NCDs and LCDs.
• Knowledge of current third-party billing and collection regulatory guidelines and requirements.
• Advanced knowledge of ICD-10-CM/PCS and CPT/HCPCS coding systems and conventions.
• Advanced knowledge of Official Coding Guidelines and methodologies.
• Good interpersonal skills and a basic understanding of teamwork.
• Ability to gather and interpret clinical data.
• Ability to work independently in a fast-paced environment.
• Ability to concentrate on details.
• Ability to use a computer for long periods.
• Ability to perform work involving walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling.
• Ability to lift and support up to 35 pounds.

Nice To Haves

• CPC certification preferred.
• Experience in Family Practice, Internal Medicine, Cardiology, Rheumatology, Endocrinology, Gynecology, or Dermatology.

Responsibilities

• Perform initial charge reviews to determine appropriate ICD-10 and CPT codes for reporting physician services to third-party payers.
• Interpret progress notes, operative reports, discharge summaries, and charge documents to determine services provided and assign CPT and ICD-10 codes according to AMA guidelines.
• Enter appropriate codes, diagnoses, and modifiers into the TMP billing system to complete the charge process.
• Meet department timelines for processing charges and communicate with team members and practice management to ensure guidelines are met.
• Contact physicians through established query protocols regarding procedures and other services to ensure proper coding.
• Review patient logs and other reports of clinical activity to ensure billing is captured for all patients.
• Review physician documentation for compliance with third-party payer and regulatory guidelines.
• Work with Reimbursement staff to answer inquiries regarding coding and billing for TMP physician services.
• Perform other related duties as required and assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED