Certified Professional Coder in Medford, Oregon at Southern Oregon Orthopedics, Inc

Job Title: Certified Medical Coder – Orthopedics

Location: Medford, OR

Job Summary:
The Certified Medical Coder – Orthopedics is responsible for accurately reviewing and coding medical records for orthopedic services, including office visits, procedures, and injections. This role ensures proper documentation, coding compliance, and optimal reimbursement while supporting providers in a fast-paced specialty practice. Follow up on denied claims.

Key Responsibilities:

• Review orthopedic medical records, operative reports, and provider documentation for completeness and accuracy
• Assign appropriate diagnosis and procedure codes using ICD-10, CPT, and HCPCS
• Accurately code services such as fracture care, joint injections, casting/splinting, and surgical procedures
• Ensure proper use of modifiers (e.g., -25, -50, -59, RT/LT) specific to orthopedic billing
• Verify documentation supports medical necessity and coding selections; query providers when clarification is needed
• Maintain compliance with payer guidelines, including Medicare, commercial plans, and VA requirements when applicable
• Stay current with coding updates, orthopedic guidelines, and regulatory changes
• Follow up on denied claims.

Qualifications:

• Certified Professional Coder (CPC) through AAPC or Certified Coding Specialist (CCS) through AHIMA
• Minimum of 1–2 years of medical coding experience required; orthopedic coding experience preferred
• Strong understanding of musculoskeletal anatomy and orthopedic terminology
• Familiarity with Epic

Skills & Competencies:

• High attention to detail and accuracy
• Strong knowledge of orthopedic procedures and coding nuances
• Effective communication skills for provider queries and team collaboration
• Strong organizational and time management skills
• Work Environment:
• Orthopedic specialty practice
• Fast-paced environment with high volume of procedures and encounters