What are the responsibilities and job description for the Medical Coding Specialist - Orthopedic Surgery & Office Coder position at MedHQ, LLC?
Company
MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent customer service. MedHQ, LLC, is a 2022 Becker’s Top 150 Places to Work in Healthcare company.
We believe our quality of service begins with our quality of team member. We offer exceptional benefits and working environments to exceptional employees.
Position Summary
The Office-Based Orthopedic Coder is responsible for reviewing and accurately assigning ICD-10-CM, CPT, and HCPCS codes for orthopedic surgeries and office services.. This position ensures compliance with all federal, state, and payer regulations while maximizing appropriate reimbursement. The coder works closely with physicians, clinical staff, and billing teams to clarify documentation, resolve coding issues, and support the overall revenue cycle.
Key Responsibilities
- Review provider documentation from office visits, surgeries, imaging interpretations, injections, and other orthopedic services.
- Assign appropriate ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes according to official coding guidelines and payer rules.
- Verify coding accuracy and completeness to support correct claim submission and reduce denials.
- Query providers when documentation is incomplete, unclear, or inconsistent with coding guidelines.
- Keep current with orthopedic coding updates, payer policy changes, and compliance regulations.
- Collaborate with the billing team to resolve claim rejections, denials, and coding-related issues.
- Maintain confidentiality of patient information in compliance with HIPAA regulations.
- Participate in coding audits and provide feedback to improve documentation and coding accuracy.
- Assist in educating providers and staff on documentation improvement related to orthopedic coding.
Qualifications
- Required:
- High school diploma or equivalent.
- Certification as a Certified Professional Coder (CPC), Certified Orthopaedic Surgery Coder (COSC), or equivalent from AAPC/AHIMA.
- Minimum of 2 years of coding experience, preferably in orthopedics or a related specialty.
- Preferred:
- Knowledge of office-based orthopedic procedures, imaging, and injection coding.
- Familiarity with payer-specific orthopedic coding guidelines.
- Experience with EHR and coding software systems.
Skills & Competencies
- Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.
- Excellent attention to detail and accuracy.
- Strong communication skills for interacting with providers and team members.
- Ability to work independently and meet deadlines.
- Knowledge of medical terminology, anatomy, and physiology (orthopedic focus preferred).
Work Environment
- Standard work hours, with possible flexibility based on operational needs.
- Mostly sedentary position with extended computer use.
FULL TIME BENEFITS
- Employer sponsored Major Medical
- Employer sponsored Dental
- Employer sponsored Vision
- Accidental Death and Disability insurance
- Short term disability
- 4.5% 401K matching
- Flexible spending account
- Generous paid time off
This is a remote position.
