Coder II - Remote

PHSCUpper Merion Township, PA
Remote

About The Position

Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a dedicated and skilled Coder to join our team remotely. As two of the region’s most respected providers of orthopedic and upper extremity care, we offer a collaborative, patient-focused environment that prioritizes clinical excellence, innovation, and ongoing professional development.

Requirements

  • High school diploma/GED or equivalent working knowledge preferred.
  • Accredited by the American Health Information Management Association (CCS-P) or the American Academy of Professional Coders (CPC).
  • 3-5 years of professional medical coding experience, preferably in a multi-specialty environment with experience in orthopedics, surgery, pain management, spine, or other complex procedural coding.
  • Demonstrated experience reviewing operative reports and clinical documentation, assigning accurate CPT, ICD-10-CM, HCPCS, and modifiers, and resolving coding edits or documentation discrepancies.
  • Strong knowledge of CPT, ICD-10-CM, HCPCS Level II, modifiers, NCCI edits, global surgical guidelines, and payer-specific coding requirements.
  • Proficient in interpreting complex operative reports and determining appropriate code selection based on the documented procedure rather than relying solely on procedure titles.
  • Strong research, analytical, and problem-solving skills are essential, along with attention to detail and a commitment to coding accuracy and compliance.
  • Effective written and verbal communication skills, including the ability to clearly communicate coding concerns, request documentation clarification, and collaborate professionally with providers, Coding leadership, Authorization, Revenue Cycle, and other operational teams.
  • Ability to work independently with limited supervision.
  • Ability to manage a consistent coding workload while meeting productivity and accuracy expectations.
  • Ability to appropriately escalate complex or uncertain cases.
  • Ability to recognize documentation deficiencies, identify potential compliance concerns, research unfamiliar procedures, apply coding guidelines consistently, and adapt to multiple specialties and changing payer requirements.
  • Demonstrate sound judgment, accountability, organization, critical thinking, and the ability to prioritize competing demands while maintaining quality and timely turnaround.

Nice To Haves

  • Experience with coding audits, payer guidelines, NCCI edits, and physician queries is strongly preferred.
  • A current professional coding certification such as CPC, CCS, COC, or equivalent is preferred/required based on organizational standards.

Responsibilities

  • Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes.
  • Utilizes practice management system (PMS) to accurately account for demographics and services performed for all scheduled and unscheduled surgical cases according to standard procedures and coding guidelines.
  • Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures.
  • Provides education and support to clinical areas regarding appropriate documentation and coding of services to achieve accurate billing. Maintains effective communication with providers concerning coding issues.

Benefits

  • Comprehensive benefits package including medical, dental, and vision plans
  • 100% employer-paid life insurance
  • 401(k) with employer match
  • Benefits begin the first of the month following hire date (for full-time employees)
  • Generous paid sick and vacation time
  • 7 paid holidays annually
  • Opportunities for growth and advancement
  • Employee referral reward program
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