Job Description:
• Review clinical documentation and assign CPT, ICD-10-CM, and other applicable codes for outpatient surgical encounters
• Code outpatient surgical specialties including orthopedics, fracture treatment, knee procedures, limb-length discrepancy procedures, clubfoot procedures, osteotomies, Ganz procedures, MAGEC/magnetic rod lengthening procedures, casting procedures, cleft lip and palate procedures, dental procedures, hand and upper-extremity procedures, burn laser treatments, skin grafts, lesion excisions, circumcision, and hypospadias procedures
• Apply official coding guidelines and client-specific coding requirements
• Review returned or queried accounts in the assigned coding queue
• Escalate documentation questions or coding concerns through established client processes
• Maintain productivity, accuracy, and turnaround expectations
• Review clinical and procedural documentation to determine CPT and related procedure codes for pre-authorization workflows
• Process approximately 50 pre-authorization cases per day, with fluctuating volume
• Support routine and priority/STAT requests
• Identify cases requiring additional procedural detail and communicate with designated care managers
• Monitor pending cases and follow up when documentation becomes available
• Document coding-related notes and follow-up in the client system
• Follow client-specific conventions for alternative or multiple procedure codes
• Participate in onboarding and knowledge transfer with existing client staff
• Learn client-specific workflows, conventions, documentation requirements, and escalation processes
• Collaborate with the client's Coding Supervisor and coding team
• Support continuity of operations during staffing transitions
• Maintain communication about documentation gaps, workflow concerns, and barriers to timely coding
• Not responsible for medical-necessity determinations, routine payer-policy or coverage research, obtaining payer authorization, complete authorization lifecycle management, routine queue administration/reassignment, or routine internal coding audits
Requirements:
• Minimum of 3 years of recent outpatient surgery coding experience preferred
• Demonstrated experience assigning CPT and ICD-10-CM codes for complex outpatient surgical services
• Strong knowledge of CPT guidelines, surgical coding conventions, and outpatient coding requirements
• Orthopedic surgical coding experience strongly preferred
• Experience with multiple surgical specialties is highly desirable
• Previous experience supporting pre-authorization or pre-service coding workflows preferred but not required
• Ability to interpret operative notes and other clinical documentation accurately and efficiently
• Strong attention to detail and demonstrated coding accuracy
• Ability to work independently within established workflows while communicating effectively with coding leadership and clinical teams
• Comfortable working in a production-based remote coding environment
• One or more nationally recognized coding credentials preferred, such as CCS, CCS-P, CPC, COC, RHIT, or RHIA
• Ability to work generally between 7:00 AM and 5:00 PM Eastern Time, based on client operational needs
Benefits:
• Full-time remote position
• Structured onboarding and knowledge transfer
• Collaboration with client coding leadership and clinical teams