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Coder II

🔥 0 minutes ago

🔔 Pennsylvania – Remote

infoinfo

⏰ Full Time

🟡 Mid-level

🟠 Senior

Where this job comes from

Posted on Premier Orthopaedics's careers page, not through a job board

First seen by Remote Rocketship 0 minutes ago

Logo of Premier Orthopaedics

Premier Orthopaedics

501 - 1000 employees

Founded 2000

🏥 Healthcare

👥 B2C

🧘 Wellness

Healthcare • B2C • Wellness

Premier Orthopaedics is a regional orthopaedic medical group providing a full spectrum of bone, muscle, and joint care across more than 35 locations in the Greater Philadelphia region. The practice offers orthopaedic surgery, sports medicine, interventional pain management, physical therapy, MRI and imaging services, express ortho care, and patient resources such as online scheduling and educational content to help patients recover and return to activity.

📋 Description

• Review medical records and assign accurate ICD-10 diagnosis and CPT procedure codes in compliance with applicable policies and regulations • Abstract data in compliance with national, regional, and local policies • Manage patient demographics, clinical documentation, and billing data across practice management systems and hospital records • Use the practice management system to account for demographics and services for scheduled and unscheduled surgical cases • Use hospital medical record systems to obtain clinical documents and demographics required for coding and billing • Coordinate with physicians and staff regarding hospital procedures • Educate and support clinical areas on appropriate documentation and coding of services • Communicate with providers about coding issues • Identify documentation deficiencies and potential compliance concerns • Research unfamiliar procedures and resolve complex or uncertain coding cases

🎯 Requirements

• High school diploma/GED or equivalent working knowledge preferred • Accredited by the American Health Information Management Association (CCS-P) or the American Academy of Professional Coders (CPC) • 3–5 years of professional medical coding experience preferred • Experience preferably in a multi-specialty environment with orthopedics, surgery, pain management, spine, or other complex procedural coding • Experience reviewing operative reports and clinical documentation • Experience assigning CPT, ICD-10-CM, HCPCS, and modifiers • Experience resolving coding edits or documentation discrepancies • Experience with coding audits, payer guidelines, NCCI edits, and physician queries strongly preferred • Current professional coding certification such as CPC, CCS, COC, or equivalent preferred/required based on organizational standards • 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 documented procedures • Strong research, analytical, and problem-solving skills • Strong attention to detail and commitment to coding accuracy and compliance • Effective written and verbal communication skills • Ability to work independently with limited supervision • Ability to manage coding workload while meeting productivity and accuracy expectations • Ability to recognize documentation deficiencies and compliance concerns • Ability to research unfamiliar procedures and apply coding guidelines consistently • Ability to adapt to multiple specialties and changing payer requirements • Sound judgment, accountability, organization, critical thinking, prioritization, and timely turnaround • Ability to appropriately escalate complex or uncertain cases

🏖️ Benefits

• Comprehensive benefits package including 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 • 7 paid holidays annually • Opportunities for growth and advancement • Employee referral reward program • Full-time remote work arrangement

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