Orthopedic/Spine Surgical Coder

Flagstaff Center Bone and Joint•Flagstaff, AZ

18h

About The Position

The Orthopedic/Spine Surgical Coder is responsible for coding, billing, denials, accounts receivable, and payer policy updates. The role analyzes medical records, including operative reports, and assigns and sequences appropriate ICD-10-CM, CPT, and/or HCPCS codes for office, inpatient, and outpatient services in accordance with established coding guidelines. It also includes entering surgical charges, supporting the practice with coding and denial questions, researching coding and reimbursement issues, and contributing to coding compliance and documentation improvement programs. The position is based at the Flagstaff office, with remote work considered. It reports to the Revenue Cycle Manager and requires CPC certification, orthopedic/spine coding experience, surgical billing experience, and claims adjudication experience. The role requires careful, timely work and effective communication with providers, colleagues, patients, and other contacts. Flagstaff Bone and Joint is a physician-owned orthopedic and spine practice serving Northern Arizona. The organization describes its workplace as collaborative and fast-paced, with a focus on patient care, teamwork, employee recognition, and professional growth. The team includes 115 employees.

Requirements

CPC certification.
Orthopedic/spine coding experience, including the ability to review and natively code complex operative procedure reports.
Surgical billing experience and claims adjudication experience.
Experience working with Commercial, Medicare, Medicaid, and secondary insurance plans.
Ability to communicate with and coach providers on proper billing practices.
Familiarity with current coding trends, including ICD-10.
Ability to establish and maintain effective working relationships with patients, medical staff, and the public.
Ability to work efficiently and at a fast pace.
Self-motivation.
Strong organization and attention to detail.
Ability to exercise initiative, judgment, discretion, and decision-making to achieve organizational objectives.
Ability to sit or stand for 8–9 hours a day, view a computer screen for extended periods, and perform tasks requiring hand-eye coordination and finger dexterity.

Nice To Haves

Athena experience.

Responsibilities

Analyze and interpret medical information in medical records and assign and sequence appropriate ICD-10-CM, CPT, and/or HCPCS codes for diagnoses and procedures, including operative reports.
Enter surgical charges in accordance with National Correct Coding Edits, applying appropriate modifiers and ICD-10 codes.
Answer practice questions and help resolve claim denials.
Apply knowledge of encounter and billing processes and insurance plans to support accurate reimbursement.
Research coding issues using medical reference resources and contacts, and maintain working knowledge of payment and reimbursement systems.
Identify opportunities to improve billing and coding.
Participate in developing, implementing, and reviewing coding compliance monitoring programs, benchmark criteria, organizational policies and procedures, and physician clinical documentation improvement programs.
Meet or exceed productivity and quality standards assigned by management.
Complete projects and other duties assigned by management within the scope of knowledge and ability.
Work collaboratively and communicate positively with co-workers, managers, providers, and other contacts.

Benefits

Medical insurance through Cigna Healthcare for employees working 30 or more hours per week; benefits begin the first of the month following 60 days.
Health Savings Account (HSA).
Voluntary dental insurance.
Voluntary vision insurance.
Telehealth medical care.
Voluntary life insurance.
$50,000 in employer-paid group life insurance.
Voluntary short-term disability.
401(k) and Roth 401(k) plans after one year of employment.
Eight paid holidays.
Paid time off beginning immediately, with 80 hours in the first year and 120 hours provided on the anniversary date.
$500 credit to be used at Flagstaff Bone and Joint if the employee or their family needs care.
Professional development and growth opportunities.
On-the-job training.
Regular social events.