Surgical Coder – Spine Specialty

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Logo of Spire Orthopedic Partners

Spire Orthopedic Partners

1001 - 5000 employees

Founded 2021

🤝 B2B

🏢 Enterprise

B2B • Enterprise

Spire Orthopedic Partners is a forward-looking capital and management partner for leading orthopedic and spine surgeons, operating as a management services organization (MSO) that provides administrative infrastructure and strategic support. The company partners with high-growth orthopedic practices across the Northeastern United States (Connecticut, New York, Massachusetts, Rhode Island), enabling around 165 physicians and 1,800 employees across 40 locations to grow, specialize, and focus on patient care while Spire handles operations, practice integration, and business development.

📋 Description

• The Surgical Coder for Spine is responsible for accurate and compliant coding of complex orthopedic spine procedures across all care settings. • Code high-complexity spine procedures (e.g., fusions, decompressions, instrumentation, revisions). • Verify all documentation is complete and compliant. • Assign codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. • Follow coding conventions and ensure accurate assignment of CPT (including add-on codes, modifiers, bundling rules). • Validate levels, laterality, approach (anterior/posterior). • Identify missed billable components (e.g., additional levels, hardware, biologics). • Query provider for any necessary clarification related to unclear, unspecified or missing/incomplete documentation. • Apply payer-specific coding rules and edits. • Research, analyze, recommend, and facilitate a plan of action to correct discrepancies and prevent future coding errors.

🎯 Requirements

• CPC, CCS, or equivalent certification (AAPC or AHIMA) • 5+ years of surgical coding experience • 3+ years focused on spine surgery coding • Deep knowledge of NCCI edits and bundling rules • Modifier usage (e.g., 22, 25, 50, 51, 57, 59, 62, 76) • Spine-specific CPT coding nuances • Documentation requirements for Evaluation and Management services • Experience with orthopedic or multi-specialty groups preferred • Excellent organization skills • Detailed oriented and comfortable with multi-tasking • Ability to work in fast-paced, results driven position.

🏖️ Benefits

• Excellent growth and advancement opportunities • Dynamic environment • Access to a diverse network of practitioners • Broad infrastructure of tools and programs to enhance the employee experience • Competitive Compensation • Generous PTO • Benefits package: health, dental, vision, 401(k), etc.

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