Coder II

Premier Orthopaedics

. 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

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Demonstrates expertise in medical coding, including proficiency in CPT, ICD-10-CM, and HCPCS Level II coding standards. Capable of managing clinical documentation and billing data while ensuring compliance with regulations and payer-specific requirements.

Highest-signal resume keywords

CPT CodingICD-10-CM CodingHCPCS Level II CodingCoding AuditsProfessional Coding Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical CodingData AbstractionClinical Documentation ManagementCoding ComplianceOperative Report ReviewModifier AssignmentNCCI EditsPayer GuidelinesCoding Discrepancy ResolutionDocumentation Deficiency Identification

Soft Skills

Attention to DetailAnalytical SkillsProblem-Solving SkillsEffective CommunicationCritical Thinking

Tools & Technologies

Practice Management SystemsHospital Medical Record Systems

Certifications & Qualifications

CPCCCS-PCCSCOC

Industry Keywords

Multi-Specialty EnvironmentOrthopedicsSurgeryPain ManagementSpine Coding

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
Abstract data in compliance with national, regional, and local policies
Manage patient demographics, clinical documentation, and billing data across practice management systems and hospital records
Use the practice management system to account for demographics and services for scheduled and unscheduled surgical cases
Use hospital medical record systems to obtain clinical documents and demographics required for coding and billing
Coordinate with physicians and staff regarding hospital procedures
Educate and support clinical areas on appropriate documentation and coding of services
Communicate with providers about coding issues
Identify documentation deficiencies and potential compliance concerns
Research unfamiliar procedures and resolve complex or uncertain coding cases

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 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
Strong attention to detail and commitment to coding accuracy and compliance
Effective written and verbal communication skills
Ability to work independently with limited supervision
Ability to manage coding workload while meeting productivity and accuracy expectations
Ability to recognize documentation deficiencies and 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, prioritization, and timely turnaround
Ability to appropriately escalate complex or uncertain cases

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
Full-time remote work arrangement