Coder II
# Coder II **OrthoVirginia** · Holy See (Vatican City State) · `Remote` · `Full Time` 💼 **Уровень роли:** `Mid-level` 🕒 **Статус:** *Опубликовано: сегодня* · *Источник: Himalayas (JSON API)* --- ### Top Skills & Match 🎯 **Ключевой стек роли:** `[Medical-Coder]` `[Health-Information-Coder]` `[Clinical-Coder]` `[Outpatient-Coder]` `[Surgical-Coder]` `[Coder]` `[Developer-II]` `[Certified-Coder]` `[CPC-Coder]` `[Software-Developer-Level-II]` `[Developer]` --- ### About the Role At OrthoVirginia , you’re part of a team dedicated to delivering expert orthopedic and therapy care across the state. As Virginia’s largest provider of musculoskeletal care, we offer full-time and part-time opportunities in a collaborative, team-oriented environment. With more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads— OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. Our nationally recognized specialists treat a full range of musculoskeletal injuries and conditions, helping patients of all ages move, heal, and thrive. Join us and become part of a trusted network committed to excellence in orthopedic care. The Coder II is a coding professional responsible for reviewing and validating complex clinical documentation and coding assignments, with a preferred focus on orthopedic and surgical procedures. This role requires advanced knowledge of coding guidelines, payer policies, and surgical terminology, and plays a key part in ensuring coding accuracy, regulatory compliance, and optimal reimbursement. The Coder II also serves as a resource for junior coders and contributes to process improvement initiatives within the revenue cycle team. Primary Responsibilities - Review clinical documentation and diagnostic results to assign accurate ICD-10-CM and CPT codes. - Code outpatient services including diagnostics, recurring visits, and procedures performed in orthopedic settings. - Ensure coding supports reimbursement, medical necessity, and regulatory compliance. - Collaborate with providers and clinical staff to clarify documentation and resolve coding discrepancies. - Monitoring payer-specific authorization requirements and support appeals when authorizations are not obtained timely. - Submit appeals with supporting documentation when oversight occurs, requesting reconsideration based on medical necessity. - Understand payer contracts and recognize limitations in appeal success due to provider-side authorization delays. - Maintain up-to-date knowledge of coding guidelines, payer policies, and regulatory changes - Contributes accurate reporting for morbidity, mortality, research, and statistical analysis. - Participate in meetings and training sessions to support continuous improvement and compliance. - Serve as a mentor or resource to Coder I team members, offering guidance on complex coding scenarios and best practices. - Maintain thorough documentation of coding activity and adhere to departmental standards for timeliness and accuracy. Minimum Qualifications - Certification: CPC, CCS, or equivalent coding credential (active and in good standing). - Experience: Minimum 3 years of professional coding experience, with demonstrated expertise in orthopedic and surgical coding. - Education: High school diploma or equivalent required; associate degree or higher in health information management or related field preferred. - Advanced understanding of anatomy, medical terminology, and surgical procedures across orthopedic and related specialties. - Proficiency with electronic health record (EHR) systems and coding software. Preferred Skills - Strong working knowledge of Microsoft Office products, especially Word, Excel, and Teams. - Ability to interpret complex clinical documentation and apply nuanced coding guidelines with precision. - High level of attention to detail, critical thinking, and problem-solving skills. - Familiarity with payer-specific rules, inclusive billing practices, and appeals processes. - Effective communication and collaboration skills across multidisciplinary teams. - Commitment to professional development and staying current with industry changes and regulatory updates. Compensation Range for this position: $20.96 - $31.44 Compensation for this role will be based on several factors, including the candidate's qualifications, relevant experience, education, skills, certifications, geography/market, and internal equity considerations. Originally posted on Himalayas
- Medical-Coder
- Health-Information-Coder
- Clinical-Coder
- Outpatient-Coder
- Surgical-Coder
- Coder
- Developer-II
- Certified-Coder
- CPC-Coder
- Software-Developer-Level-II
- Developer
Наблюдалась 2026-10-10, впервые 2026-10-10, источник — Himalayas (JSON API).