Orthopedic Medical Coding Specialist

12 hours ago

Manila, National Capital Region, Philippines beBeeOrthopedic Full time ₱1,200,000 - ₱1,800,000
Medical Coder and Claim Scrubber for Orthopedic Procedures

We are seeking a highly skilled professional to join our revenue cycle team. The ideal candidate will have expertise in orthopedic coding, medical billing, and claim submission.

This role plays a critical part in preventing denials and optimizing revenue through detailed review and collaboration with clinical and billing teams.

  • Comprehensive Claim Review:
    • Review all claims for accuracy, completeness, and compliance prior to submission.
  • Specialized Orthopedic Coding:
    • Assign precise CPT, ICD-10, and HCPCS codes for surgical and clinical orthopedic services, including joint replacements, fracture care, arthroscopies, and sports medicine procedures.
  • Epic EHR Expertise:
    • Utilize Epic's coding and claim processing modules to ensure efficient workflow and documentation accuracy.
  • Regulatory Compliance:
    • Ensure all claims adhere to payer-specific, federal, and orthopedic coding regulations.
  • Clinical Collaboration:
    • Work with physicians and clinical staff to resolve documentation gaps or discrepancies.
  • Denial Prevention & Analysis:
    • Identify patterns in claim denials specific to orthopedic coding and recommend corrective measures.
  • Continuous Learning:
    • Stay current with orthopedic coding updates, payer policy changes, and new procedural coding requirements.
    Requirements
    • Minimum 2 years' experience in medical coding, with strong emphasis on orthopedic coding (surgical and clinical).
    • Proven experience with Epic EHR for coding and claims management.
    • Familiarity with claim scrubber tools and understanding of revenue cycle workflows.
    • Deep knowledge of orthopedic anatomy, terminology, and procedure coding protocols.
    • Strong analytical skills, attention to detail, and ability to manage multiple priorities.
    • Ability to work independently while effectively communicating with clinical and billing teams.

The successful candidate will possess excellent communication and interpersonal skills, with the ability to work collaboratively within a team environment.

A thorough understanding of regulatory requirements and industry standards is essential for this role.

We offer a competitive compensation package and opportunities for career growth and development.

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