Coding Specialist Orthopedic Services

Job Summary

We’re seeking a detail-oriented Coding Specialist to support our orthopedic and surgical services team. This role focuses on reviewing clinical documentation and assigning accurate procedure and diagnosis codes to support compliant billing and timely reimbursement.

Duties and Responsibilities

• Demonstrate our core values of being patient-centered, team-focused, service-driven, accountable, and innovative.
• Review physician documentation, operative reports, and clinical records to assign appropriate diagnosis and procedure codes for orthopedic services, including office visits, imaging, physical therapy, and surgical procedures.
• Ensure practices meet federal and state regulations, payer requirements, and internal policies.
• Collaborate with providers and clinical staff to clarify documentation and support accuracy.
• Monitor edits, denials, and rejections, and assist with corrections and follow-up as needed.
• Partner with the billing team to help resolve discrepancies and support clean claim submission.
• Stay current with coding guidelines, regulatory updates, and payer changes relevant to orthopedic services.
• Accurately enter charge data and maintain complete, compliant documentation.
• Assist with reviewing and assigning CPT, ICD-10, and HCPCS codes based on provider documentation.
• Perform additional responsibilities as assigned.

Requirements and Qualifications

• High school diploma or GED required; Associate degree preferred.
• Active coding certification (such as CPC or CCS) required.
• At least 1 year of experience in medical coding or a related role.
• Familiarity with electronic health records (EHR/EMR) and coding systems preferred.
• Knowledge of orthopedic, physical therapy, or podiatry terminology is a plus.
• Ability to work both independently and collaboratively in a fast-paced environment.
• Proficiency in Microsoft Office (Word, Excel, Outlook, Teams).

Physical Demands

• Frequent sitting and computer use for extended periods.
• Occasional standing and walking.
• Ability to lift and carry items up to 10 pounds.
• Visual and manual dexterity required for data entry and review.

The pay range for this position is determined based on several factors, including the candidate’s years of experience, qualifications, training, licenses, designations, and the overall market conditions.

This job description does not state or imply that the duties and responsibilities listed are the only ones required of this position.  Team members in this role will be required to perform other job-related duties at the discretion of the employer and may have additional duties assigned as necessary.  

Excelsior Orthopaedics and Buffalo Surgery Center are committed to the full inclusion of all applicants.  All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information.