• Reviewing patient records, doctor's notes, and other relevant documentation to extract information about diagnoses, procedures, and treatments. • Determine which diagnostic and procedural information is necessary for accurate coding of an authorization. • Assign appropriate ICD-10, CPT, and HCPCS codes based on the information found in the medical records. • Verifying the correctness of assigned codes, ensuring they align with coding guidelines and regulations, and identifying any discrepancies or errors. • Communicating with physicians, clinical stakeholders and other teams such as surgical scheduling and authorization management to clarify any ambiguities in the documentation or coding. • Ensuring the security and confidentiality of patient information as mandated by HIPAA.

• 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.

• The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. • This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. • The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. • This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment. • Averages 10 front-end holds per hour • Maintains a minimum of 90% coding accuracy. • Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment. • Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses. • Ensures all diagnosis codes meet local and national medical necessity guidelines. • Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services. • Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality. • Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices. • Independently reviews and resolves all assigned front-end claim holds. • Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead. • Escalates identified client trends to the assigned Coding Team Lead. • Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification. • Maintains and completes all CEU requirements. • Performs other duties or tasks as assigned.

• The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. • This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. • The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. • This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment. • Averages 10 front-end holds per hour. • Maintains a minimum of 90% coding accuracy. • Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment. • Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses. • Ensures all diagnosis codes meet local and national medical necessity guidelines. • Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services. • Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality. • Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices. • Independently reviews and resolves all assigned front-end claim holds. • Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead. • Escalates identified client trends to the assigned Coding Team Lead. • Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification. • Maintains and completes all CEU requirements. • Performs other duties or tasks as assigned.