Surgical Coding Specialist

Job Description

Title: Coding Specialist

Location: 1111 Leffingwell Ave. NE, Grand Rapids, MI 49525 (Candidates must live in Michigan or plan to relocate.)

Hours: Full-Time: Monday-Friday, hours are flexible

Work Environment: Remote (Onsite training)

About Us

Orthopaedic Associates of Michigan (OAM) is proud to be West Michigan’s most established orthopaedic practice. Our physicians and team members provide exceptional, individualized care for patients of all ages. As the most comprehensive independent provider of musculoskeletal care in the region, we provide total care from diagnosis, to treatment, and all the way through rehabilitation.

Patients at OAM will have access to our Specialized Surgeons, Physical and Occupational Therapists, MRI and X-ray services, and orthopaedic bracing. Patients are also able to receive care from our Bone Health Clinic, OAM Now Urgent Orthopaedic Care Clinic, and Surgery Center at MidTowne – all of which are committed to optimizing their treatment outcomes.

Our teams work together to maximize and adjust treatment quickly and easily, resulting in a smoother, faster recovery for patients. From neck to toe, and from traumatic injuries to chronic conditions, patients will receive compassionate care that will allow them to embrace their full potential. Patient goals are our goals – we will restore their health so they are functioning as fully as possible in the activities they love at home, work, and in everyday life.

Position Summary

As a Coding Specialist at OAM, you will play a vital role in ensuring timely, accurate coding and documentation of medical procedures and diagnoses related to orthopaedics. Your expertise in CPT and ICD-10 coding systems will be instrumental in maintaining compliance, optimizing revenue cycles, and supporting efficient healthcare operations.

Essential Responsibilities

• Assign CPT and ICD10 codes to procedures based on documentation from providers and bundling edits (NCCI and/or AAOS Global Service Data).
  • Code for fracture care and MRI.
• Verify appropriate insurance information and enter charges into the practice management system accordingly.
• Monitor scheduled and emergent surgeries based on office schedules and charge slips. Reconcile all assigned systems to ensure all billable services are accounted for.
• Abstract and code all emergency reports/documentation as assigned.
• Ensure accuracy of codes and entries by checking relevant dates and services/procures performed.
• Verify receipt of all necessary facility documents and chart notes in the EMR system. Ensure all relevant coding tasks have been completed in relation to the documentation.
• Communicate with providers regarding surgeries, rounds reports, and other procedural activities. Ask questions regarding procedures and techniques if needed.
• Write appeal letters for denied claims.
• Review charts and educate providers on any relevant information. Provide documentation for any requests from other OAM departments.
• Assist with coding consults and charge entry as needed.
• Other duties as assigned.

Required & Preferred Qualifications

Education, Training, and Experience:

• Required:
  • 3+ years of orthopaedic surgical coding OR professional coding certification.
  • Experience with general orthopedic coding, including: sports medicine, arthroscopic, and total joint replacement coding.
  • Experience working with multiple third party payers, including: commercial insurances, auto, worker’s comp, etc.
  • High School Diploma/GED
• Preferred:
  • Graduate of a Medical Coding program.
  • Experience working with NextGen.

Specific Skills, Knowledge, and Abilities:

• Excellent verbal and written communication skills.
• Detailed knowledge of anatomy and medical terminology.
• Strong organization skills.
• Ability to multi-task while without compromising accuracy.
• Ability to maintain a professional demeanor and appearance.
• Microsoft Office and Windows based applications knowledge.

Motor, Sensory, and Physical Requirements:

• Ability to sit for long periods of time.
• Manual dexterity required to operate modern office equipment.
• Occasional bending, stooping, lifting (of up to 25 lbs), and reaching may be required.
• Normal or correctable range of hearing and eyesight.