Coder II

At OrthoVirginia, you’re part of a team dedicated to delivering expert orthopedic and therapy care across the state. As Virginia’s largest provider of musculoskeletal care, we offer full-time and part-time opportunities in a collaborative, team-oriented environment.

With more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads—OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. Our nationally recognized specialists treat a full range of musculoskeletal injuries and conditions, helping patients of all ages move, heal, and thrive.

Join us and become part of a trusted network committed to excellence in orthopedic care.

Primary Functions & Responsibilities:

• Analyze and interpret patient medical records, visit encounters, and reports to assign and sequence appropriate codes upon reviewing billed information.
• Ensure ICD-10, CPT, and HCPCS codes correctly reflect the documented records.
• Research, analyze, and resolve routine pre-bill errors and edits for provider-based outpatient and surgical billing.
• Determine appropriate course of action while organizing and prioritizing tasks.
• Report coding and documentation trends to leadership regarding compliance concerns.
• Work independently, efficiently prioritizing workflow while maintaining accuracy.
• Demonstrate strong problem-solving skills with clear verbal and written communication.
• Assist clinic and billing staff with coding-related questions.
• Provide support in interpreting denials, conducting reviews, and determining appropriate next steps for coding categories such as medical necessity, inclusivity, bundling, non-covered services, and cases where documentation does not support the claim.
• Ensure compliance with State, Federal, and Insurance regulations concerning coding for consultations, diagnoses, and surgical procedures.
• Seek guidance from managers, physicians, or content experts when needed.
• Perform other duties as assigned.

Knowledge, Skills & Abilities:

• Proficiency in medical terminology
• Thorough understanding of ICD-10 and CPT coding principles
• Strong communication skills
• Effective problem-solving abilities
• Excellent organizational and time management skills
• Knowledge of physician billing and collections processes
• Ability to multitask in a fast-paced environment
• Highly accurate data entry skills with keen attention to detail
• Ability to maintain confidentiality of patient and employee information
• Proficiency in Microsoft Office, practice management systems, and basic office equipment

Physical Requirements:

• Sitting: Continuously

• Standing: None (unless working onsite, Some)

• Walking: None (unless working onsite, Some)

• Climbing: None

• Bending/stooping: None

• Kneeling/crouching: None

• Reaching overhead: None

• Using full range of motion: None

• Lifting

• Light up to 20 lbs: Rarely

• Medium 21-50 lbs: None

• Heavy 51 lbs+: None

• Carrying objects: Rarely (unless working onsite, Some)

• Pushing/pulling: None

• Fine motor skills/dexterity: Continuously

• Visual acuity: Continuously

• Hearing ability: Continuously

• Speaking clearly: Continuously

• Working in confined spaces: Rarely

• Exposure to outdoor elements: None

• Exposure to noise: None (unless working onsite, Some)

• Exposure to infectious materials/radiation: None

• Use of personal protective equipment: Rarely

• Operating office equipment: computer, keyboard, mouse, copier, printer, fax, phone, headset: Continuously

• Operating vehicles, large equipment or machinery: None

• Set-up and work in an ergonomic, distraction-free home office: Continuously

Compensation Range for this position:

$20.96 - $31.44

Compensation for this role will be based on several factors, including the candidate's qualifications, relevant experience, education, skills, certifications, geography/market, and internal equity considerations.

This organization participates in e-Verify. Esta organización participa en e-Verify.