Coder II

Join Our Team at OrthoVirginia!

OrthoVirginia, the largest provider of expert orthopedic and therapy care in Virginia, is seeking a full-time Coder II to join our team.

We offer a collaborative, team-oriented work environment along with a competitive benefits package, including:

· Competitive salaries

· Excellent medical, dental, and vision coverage

· Paid time off (PTO)

· A generous 401(k) incentive plan

· Short-term and long-term disability insurance

· Life insurance

· A company-wide wellness program

Job Summary

The Coder II is responsible for reviewing authenticated provider documentation and reports to ensure the accuracy and completeness of CPT and ICD codes for billed services.

Primary Functions & Accountabilities

· Analyze and interpret patient medical records, visit encounters, and reports to assign and sequence appropriate codes upon reviewing billed information.

· Ensure ICD-10, CPT, and HCPCS codes correctly reflect the documented records.

· Research, analyze, and resolve routine pre-bill errors and edits for provider-based outpatient and surgical billing.

· Determine appropriate course of action while organizing and prioritizing tasks.

· Report coding and documentation trends to leadership regarding compliance concerns.

· Work independently, efficiently prioritizing workflow while maintaining accuracy.

· Demonstrate strong problem-solving skills with clear verbal and written communication.

· Assist clinic and billing staff with coding-related questions.

· Provide support in interpreting denials, conducting reviews, and determining appropriate next steps for coding categories such as medical necessity, inclusivity, bundling, non-covered services, and cases where documentation does not support the claim.

· Ensure compliance with State, Federal, and Insurance regulations concerning coding for consultations, diagnoses, and surgical procedures.

· Seek guidance from managers, physicians, or content experts when needed.

· Perform other duties as assigned.

Knowledge, Skills & Abilities

· Proficiency in medical terminology

· Thorough understanding of ICD-10 and CPT coding principles

· Strong communication skills

· Effective problem-solving abilities

· Excellent organizational and time management skills

· Knowledge of physician billing and collections processes

· Ability to multitask in a fast-paced environment

· Highly accurate data entry skills with keen attention to detail

· Ability to maintain confidentiality of patient and employee information

· Proficiency in Microsoft Office, practice management systems, and basic office equipment

Position Requirements

· At least 3 years of proven experience in coding, billing, and compliance, preferably within an orthopedic practice.

· Has expertise and knowledge in sub-specialty areas, including spine, foot, and hand.

· Preferred experience using the Epic EHR and practice management system platform.

Other details

• Remote, in Virginia
• OrthoVirginia participates in eVerify
• Offers of employment are contingent on the successful completion of a background, drug, and TB screen.

We are looking for a dedicated and detail-oriented professional to join our team and contribute to our mission of delivering top-tier orthopedic and therapy care. Apply today and become part of OrthoVirginia’s exceptional team!

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