CODER II

<p style="text-align:left">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.</p><p style="text-align:inherit"></p><p style="text-align:left">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.</p><p style="text-align:inherit"></p><p style="text-align:left">Join us and become part of a trusted network committed to excellence in orthopedic care.</p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p><b>Primary Functions & Responsibilities:</b><br><ul> <li>Analyze and interpret patient medical records, visit encounters, and reports to assign and sequence appropriate codes upon reviewing billed information.</li> <li>Ensure ICD-10, CPT, and HCPCS codes correctly reflect the documented records.</li> <li>Research, analyze, and resolve routine pre-bill errors and edits for provider-based outpatient and surgical billing.</li> <li>Determine appropriate course of action while organizing and prioritizing tasks.</li> <li>Report coding and documentation trends to leadership regarding compliance concerns.</li> <li>Work independently, efficiently prioritizing workflow while maintaining accuracy.</li> <li>Demonstrate strong problem-solving skills with clear verbal and written communication.</li> <li>Assist clinic and billing staff with coding-related questions.</li> <li>Provide support in interpreting denials, conducting reviews, and determining appropriate next steps for coding categories such as medical necessity, inclusivity, bundling, non-covered services, and cases where documentation does not support the claim.</li> <li>Ensure compliance with State, Federal, and Insurance regulations concerning coding for consultations, diagnoses, and surgical procedures.</li> <li>Seek guidance from managers, physicians, or content experts when needed.</li> <li>Perform other duties as assigned.</li> </ul></p> <p><b>Knowledge, Skills & Abilities:</b><br><ul> <li>Proficiency in medical terminology</li> <li>Thorough understanding of ICD-10 and CPT coding principles</li> <li>Strong communication skills</li> <li>Effective problem-solving abilities</li> <li>Excellent organizational and time management skills</li> <li>Knowledge of physician billing and collections processes</li> <li>Ability to multitask in a fast-paced environment</li> <li>Highly accurate data entry skills with keen attention to detail</li> <li>Ability to maintain confidentiality of patient and employee information</li> <li>Proficiency in Microsoft Office, practice management systems, and basic office equipment</li> </ul></p> <p><b>Physical Requirements:</b><br><ul> <li>Sitting: Continuously</li> <li>Standing: None (unless working onsite, Some)</li> <li>Walking: None (unless working onsite, Some)</li> <li>Climbing: None</li> <li>Bending/stooping: None</li> <li>Kneeling/crouching: None</li> <li>Reaching overhead: None</li> <li>Using full range of motion: None</li> <li>Lifting</li> <ul><li>Light up to 20 lbs: Rarely</li> <li>Medium 21-50 lbs: None</li> <li>Heavy 51 lbs+: None</li></ul> <li>Carrying objects: Rarely (unless working onsite, Some)</li> <li>Pushing/pulling: None</li> <li>Fine motor skills/dexterity: Continuously</li> <li>Visual acuity: Continuously</li> <li>Hearing ability: Continuously</li> <li>Speaking clearly: Continuously</li> <li>Working in confined spaces: Rarely</li> <li>Exposure to outdoor elements: None</li> <li>Exposure to noise: None (unless working onsite, Some)</li> <li>Exposure to infectious materials/radiation: None</li> <li>Use of personal protective equipment: Rarely</li> <li>Operating office equipment: computer, keyboard, mouse, copier, printer, fax, phone, headset: Continuously</li> <li>Operating vehicles, large equipment or machinery: None</li> <li>Set-up and work in an ergonomic, distraction-free home office: Continuously</li> </ul></p><br /><p>Compensation Range for this position:</p>$20.96 - $31.44<br /><p>Compensation for this role will be based on several factors, including the candidate&#39;s qualifications, relevant experience, education, skills, certifications, geography/market, and internal equity considerations.</p><br /><p style="text-align:left !important">This organization participates in e-Verify. Esta organización participa en e-Verify.</p>