Driving the future of orthopedic medicine.
Surgical Coder – Spine Specialty
Location
Connecticut
Posted
8 days ago
Salary
$31 - $39 / hour
Seniority
Senior
Job Description
Surgical Coder – Spine Specialty
Spire Orthopedic Partners
• The Surgical Coder for Spine is responsible for accurate and compliant coding of complex orthopedic spine procedures across all care settings. • Code high-complexity spine procedures (e.g., fusions, decompressions, instrumentation, revisions). • Verify all documentation is complete and compliant. • Assign codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. • Follow coding conventions and ensure accurate assignment of CPT (including add-on codes, modifiers, bundling rules). • Validate levels, laterality, approach (anterior/posterior). • Identify missed billable components (e.g., additional levels, hardware, biologics). • Query provider for any necessary clarification related to unclear, unspecified or missing/incomplete documentation. • Apply payer-specific coding rules and edits. • Research, analyze, recommend, and facilitate a plan of action to correct discrepancies and prevent future coding errors.
Job Requirements
- CPC, CCS, or equivalent certification (AAPC or AHIMA)
- 5+ years of surgical coding experience
- 3+ years focused on spine surgery coding
- Deep knowledge of NCCI edits and bundling rules
- Modifier usage (e.g., 22, 25, 50, 51, 57, 59, 62, 76)
- Spine-specific CPT coding nuances
- Documentation requirements for Evaluation and Management services
- Experience with orthopedic or multi-specialty groups preferred
- Excellent organization skills
- Detailed oriented and comfortable with multi-tasking
- Ability to work in fast-paced, results driven position.
Benefits
- Excellent growth and advancement opportunities
- Dynamic environment
- Access to a diverse network of practitioners
- Broad infrastructure of tools and programs to enhance the employee experience
- Competitive Compensation
- Generous PTO
- Benefits package: health, dental, vision, 401(k), etc.
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