Coder II - Remote

Premier Orthopaedics • Upper Merion Township, PA

2d • Remote

About The Position

Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a remote Coder II to review medical records and assign ICD-10 and CPT codes in compliance with applicable policies and regulations. The role manages patient demographics, clinical documentation, and billing data across practice management systems and hospital records to support appropriate coding and reimbursement. It also supports and educates clinical staff and providers on documentation and coding standards. This is a full-time, remote, Monday–Friday position.

Requirements

• High school diploma/GED or equivalent working knowledge is preferred.
• Accreditation by the American Health Information Management Association (CCS-P) or the American Academy of Professional Coders (CPC).
• Three to five years of professional medical coding experience is ideal, preferably in a multi-specialty environment and involving orthopedics, surgery, pain management, spine, or other complex procedural coding.
• Experience reviewing operative reports and clinical documentation; assigning CPT, ICD-10-CM, HCPCS, and modifier codes; 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.
• Proficiency interpreting complex operative reports and selecting codes based on the documented procedure rather than relying solely on procedure titles.
• Strong research, analytical, problem-solving, written communication, and verbal communication skills, with attention to detail and a commitment to coding accuracy and compliance.
• Ability to 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, manage coding workload while meeting productivity and accuracy expectations, and escalate complex or uncertain cases appropriately.
• Ability to recognize documentation deficiencies and potential compliance concerns, research unfamiliar procedures, apply coding guidelines consistently, and adapt to multiple specialties and changing payer requirements.
• Sound judgment, accountability, organization, critical thinking, and ability to prioritize competing demands while maintaining quality and timely turnaround.

Nice To Haves

• Experience in a multi-specialty environment, particularly with orthopedics, surgery, pain management, spine, or other complex procedural coding.
• Experience with coding audits, payer guidelines, NCCI edits, and physician queries.
• A current professional coding certification such as CPC, CCS, COC, or equivalent is preferred or required based on organizational standards.

Responsibilities

• Abstract data in compliance with national, regional, and local policies, and review medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes.
• Use the practice management system to account accurately for demographics and services performed for scheduled and unscheduled surgical cases according to standard procedures and coding guidelines.
• Use hospital medical record systems and coordinate with physicians and staff to obtain the clinical documents and demographics needed for coding and billing hospital procedures.
• Educate and support clinical areas on appropriate documentation and coding to achieve accurate billing.
• Communicate effectively with providers about coding issues.

Benefits

• Comprehensive 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.
• Seven paid holidays annually.
• Opportunities for growth and advancement.
• Employee referral reward program.

What This Job Offers

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