Orthopedic Coding Specialist- CPC

Tryon Medical Partners • Charlotte, NC

16d

About The Position

The Certified Professional Coder accurately interprets and bills physician charges for physician services by entering appropriate CPT and ICD-10 codes and modifiers into the billing system. This is a full-time hybrid or remote position supporting the RCM team, Monday through Friday, 8 a.m. to 5 p.m. Coding certification is required.

The specialist reviews physician documentation and clinical activity, assigns coding according to applicable guidelines, and enters charge information into the TMP billing system. The role also involves communicating with physicians, team members, practice management, and Reimbursement staff to support timely, accurate, and compliant coding and billing.

Requirements

• High school diploma or GED completion.
• At least three years of experience with CPT and ICD-10 coding of physician services.
• Coding certification and maintenance of active certification and required CEUs 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 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 team concepts.
• 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.

Nice To Haves

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

Responsibilities

• Perform initial charge review 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 identify services provided and assign CPT and ICD-10 codes according to AMA-established 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 query protocols regarding procedures and other billed 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 and regulatory guidelines.
• Work with Reimbursement staff to answer coding and billing inquiries regarding TMP physicians’ services.
• Perform other related duties as required and assigned.

What This Job Offers

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