**Role Overview ** We are seeking a highly skilled Orthopedic Medical Coder and Claim Scrubber with direct EPIC EHR experience to join our growing revenue cycle team. This role is critical for ensuring clean claim submissions, maintaining coding compliance, and maximizing reimbursement for complex orthopedic procedures. You will play a central role in preventing denials and optimizing revenue through detailed review and collaboration with clinical and billing teams. **Key Responsibilities ** - Comprehensive Claim Scrubbing: Review all orthopedic claims for accuracy, completeness, and compliance prior to submission. - Specialized Orthopedic Coding: Assign precise CPT, ICD-10, and HCPCS codes for both 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. - Compliance & Guidelines: Ensure all claims adhere to payer-specific, federal, and orthopedic coding regulations. - Documentation 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.

• Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS codes • Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation • Oversee and audit the work of Level 1 & 2 Coders, where applicable • Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders • Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS-DRG assignments • Maintain site-specific productivity benchmarks • Foster professional communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues

• Assign diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS codes • Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation • Oversee and audit the work of Level 1 & 2 Coders, where applicable • Champion documentation improvement opportunities and coding issues, facilitating resolution with relevant stakeholders • Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS-DRG assignments • Maintain site-specific productivity benchmarks • Foster professional communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues

• Coding with a clinical perspective: You capture diagnoses and procedures according to Swiss guidelines (ICD-10, CHOP) for a broad client base and ensure an accurate representation of the course of treatment. • Quality & responsibility: You review medical records critically, identify discrepancies, and actively contribute to the quality assurance of coding and billing. • Stay up to date: You monitor changes in coding guidelines and clinical developments and bring your knowledge to the team.