Surgical Spine Coder

Excelsior Orthopaedics • Amherst, NY

425d • $41,184 - $74,131 • Hybrid

About The Position

The Surgical Spine Coder at Excelsior Orthopaedics is responsible for accurately coding complex surgical medical records, particularly focusing on orthopedic and spine procedures. This hybrid position requires a strong understanding of coding standards such as ICD-10-CM, CPT, and HCPCS, ensuring compliance with federal and state regulations while maximizing reimbursement accuracy.

Requirements

• Minimum of 3 years of experience in medical coding with a strong emphasis on spine and surgical coding.
• Extensive experience in coding for orthopedic procedures, spine surgeries, and pain management is highly preferred.
• Current Certified Professional Coder (CPC) certification required.
• Proficiency in EMR and practice management systems, with experience in Medent EMR preferred.
• Strong understanding of coding guidelines and legal requirements to ensure adherence to federal and state regulatory bodies.

Nice To Haves

• Additional certification in surgical coding or spine coding is highly desirable.
• Prior experience with podiatry or physiatry coding is a plus.
• Knowledge of orthopedic, spine, podiatry, and/or pain management medical terminology.

Responsibilities

• Perform detailed coding for spine surgeries and other orthopedic procedures, ensuring accurate documentation and appropriate use of ICD-10-CM, CPT, and HCPCS codes.
• Review and audit ICD-10-CM, HCPCS, and CPT codes for surgical procedures, E&M services, and other treatments, ensuring they are correctly applied prior to claim submission.
• Thoroughly analyze operative reports to ensure comprehensive documentation and correct coding for surgical and spine procedures.
• Analyze provider documentation to ensure accurate assignment of the correct E&M levels, using appropriate CPT codes.
• Review hospital information to accurately bill for provider services for hospital patients, including inpatient and outpatient procedures.
• Audit medical records for accurate coding, ensuring proper documentation for reimbursement and compliance with state and federal regulations.
• Collaborate with providers to ensure they are informed about correct coding practices, offering training and updates as necessary.
• Attend coding seminars and in-services to maintain knowledge of the latest coding guidelines, regulatory changes, and compliance requirements.
• Conduct both quantitative and qualitative analysis of medical records to ensure all necessary components are present, including proper patient identification, signatures, and consistency with established treatment protocols.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED