Coder II

Philadelphia Hand to Shoulder Center

. Review medical records and assign accurate ICD-10 diagnosis and CPT procedure codes in compliance with applicable policies and regulations .

Posted 11/3/2026full-timeRemote • Pennsylvania • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical coding, including ICD-10, CPT, and HCPCS, while ensuring compliance with regulations and accuracy in billing. Proficient in managing clinical documentation and educating clinical staff on coding practices.

Highest-signal resume keywords

ICD-10 Diagnosis CodingCPT Procedure CodingMedical Coding Certification (CPC, CCS, COC)Coding Audits and ComplianceClinical Documentation Review

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

ICD-10-CM CodingCPT CodingHCPCS Level II CodingModifier AssignmentCoding Edits ResolutionOperative Report ReviewData AbstractionPayer Guidelines KnowledgeNCCI Edits UnderstandingGlobal Surgical Guidelines

Soft Skills

Effective CommunicationAnalytical SkillsProblem-Solving SkillsOrganization SkillsCritical Thinking

Tools & Technologies

Practice Management SystemsHospital Medical Record Systems

Certifications & Qualifications

CPCCCSCOC

Industry Keywords

Medical CodingComplianceBilling Data ManagementMulti-Specialty EnvironmentOrthopedics CodingSurgery CodingPain Management CodingDocumentation DeficienciesCoding GuidelinesHealthcare Regulations

About the role

Key responsibilities & impact

Review medical records and assign accurate ICD-10 diagnosis and CPT procedure codes in compliance with applicable policies and regulations
Manage patient demographics, clinical documentation, and billing data across practice management systems and hospital records
Abstract data in compliance with national, regional, and local policies
Use the practice management system to account for demographics and services performed for scheduled and unscheduled surgical cases
Use hospital medical record systems and coordinate with physicians and staff to obtain clinical documents and demographics for coding and billing
Educate and support clinical areas on appropriate documentation and coding of services
Communicate with providers concerning coding issues
Promote compliance, coding accuracy, effective communication, accurate billing, and reimbursement

Requirements

What you’ll need

High school diploma/GED or equivalent working knowledge preferred
Accredited by the American Health Information Management Association (CCS-P) or the American Academy of Professional Coders (CPC)
3-5 years of professional medical coding experience preferred
Experience preferably in a multi-specialty environment with experience in orthopedics, surgery, pain management, spine, or other complex procedural coding
Experience reviewing operative reports and clinical documentation
Experience assigning CPT, ICD-10-CM, HCPCS, and modifiers
Experience resolving coding edits or documentation discrepancies
Experience with coding audits, payer guidelines, NCCI edits, and physician queries strongly preferred
Current professional coding certification such as CPC, CCS, COC, or equivalent preferred/required based on organizational standards
Strong knowledge of CPT, ICD-10-CM, HCPCS Level II, modifiers, NCCI edits, global surgical guidelines, and payer-specific coding requirements
Proficiency interpreting complex operative reports and selecting codes based on documented procedures
Strong research, analytical, and problem-solving skills
Effective written and verbal communication skills
Ability to work independently with limited supervision
Ability to manage a consistent coding workload while meeting productivity and accuracy expectations
Ability to escalate complex or uncertain cases appropriately
Ability to recognize documentation deficiencies and potential compliance concerns
Ability to research unfamiliar procedures and apply coding guidelines consistently
Ability to adapt to multiple specialties and changing payer requirements
Sound judgment, accountability, organization, critical thinking, and prioritization skills
Ability to maintain quality and timely turnaround

Benefits

Comp & perks

Comprehensive benefits package including medical, dental, and vision plans
100% employer-paid life insurance
401(k) with employer match
Benefits begin the first of the month following hire date (for full-time employees)
Generous paid sick and vacation time
7 paid holidays annually
Opportunities for growth and advancement
Employee referral reward program
Remote work arrangement