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.
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