HYDERABAD · FULLTIME
Coder - Professional
Advantum Health
Hyderabad · onsite · Posted 4d ago
Sourced from
Undisclosed5–10 yrsfulltimeHyderabad
Your match
?
Sign in to see your match score, skill gaps & tailored resume.
Section · 01
About this role
Job Requisition: Orthopedic Coding Specialist Job Title
Orthopedic Coding Specialist (Professional Fee)
Department Coding Operations
Position Summary The Orthopedic Coding Specialist is responsible for accurately reviewing, assigning, and validating diagnosis and procedure codes for orthopedic services. This position ensures compliance with ICD-10-CM, CPT, HCPCS Level II, and payer-specific guidelines while supporting accurate reimbursement, regulatory compliance, and quality reporting initiatives. The coder will work closely with providers, auditors, clinical staff, and revenue cycle teams to ensure complete and compliant documentation.
Key Responsibilities - Review and assign ICD-10-CM, CPT, and HCPCS codes for orthopedic surgical and non-surgical encounters.
- Code complex orthopedic procedures including:
- Joint replacement and revision surgeries
- Arthroscopy procedures
- Fracture care and trauma cases
- Spine procedures
- Sports medicine procedures
- Hand and upper extremity surgeries
- Foot and ankle procedures
- Apply National Correct Coding Initiative (NCCI) edits and payer-specific guidelines.
- Review operative reports, clinic notes, and ancillary documentation for coding accuracy.
- Query providers when documentation clarification is required.
- Monitor coding edits, denials, and reimbursement trends.
- Participate in coding audits and quality improvement initiatives.
- Assist with education related to coding changes and documentation requirements.
- Maintain productivity and quality standards as established by the organization.
- High School Diploma or GED required.
- Minimum of 5-6 years of orthopedic coding experience.
- Strong knowledge of:
- ICD-10-CM
- CPT
- HCPCS Level II
- CMS guidelines
- NCCI edits
- Orthopedic anatomy and physiology
- Experience coding operative reports and orthopedic surgeries.
- Proficiency with EHR and encoder software.
- Associates or Bachelors degree in Health Information Management, Healthcare Administration, or related field.
- Experience with academic medical centers or large multi-specialty physician practices.
- Familiarity with risk adjustment and quality reporting programs.
- Previous auditing or education experience.
One or more of the following:
- Certified Professional Coder (CPC)
- Certified Coding Specialist (CCS)
- Extensive knowledge of orthopedic procedures and terminology.
- Strong analytical and problem-solving skills.
- Excellent attention to detail.
- Ability to work independently and manage competing priorities.
- Strong written and verbal communication skills.
- Proficient in Microsoft Office applications.
- Coding accuracy 95%
- Productivity standards met or exceeded
- Timely completion of assigned work queues
- Compliance with regulatory and payer requirements
- Reduction in coding-related denials
Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.
Sourced from naukri
Let the agent run this one for you.
Tailored resume, auto-apply, and referral lookup — in under 2 minutes.
Section · 02
Skills
AuditingCMSarthroscopyorthopedicjoint replacementPHYSICIANmicrosoft officeinformation managementhcpcscpcEHRauditsanatomyclinicCoding AuditsHealthcareCommunication SkillsoperationsAdministrationcompliance
Section · Company
About Advantum Health
Advantum Health
Healthcare
231
employees
1996
30 years old
Louisville, Kentucky
United States
₹4.7L PA avg
Avg at Advantum Health
About
Advantum Health is a revenue cycle management company delivering customized RCM solutions for hospitals and other healthcare organizations.
Industries
Healthcare
Employee ratings
10 reviews
3.1/ 5
Culture
2.4
Career growth
2.1
Work-life
2.6
Employees rate it well for
Compensation & Benefits31Overall Company31
Find them on