Coding & Reimbursement Specialist

Company : Specialty Orthopedic Group

Job Type : Full Time

Tupelo, Ms

Number of Applicants

000+

Let AI Supercharge Your Job Hunt!

JobCopilot scans 500,000+ company career sites daily to find jobs for you

Never miss an opportunity Save hours by auto-filling applications forms Land more interviews with tailored applications

Activate JobCopilot

Job Description - Coding & Reimbursement Specialist

Specialty Orthopedic Group is seeking a detail-oriented and knowledgeable Coding & Reimbursement Specialist to support accurate charge capture, compliant coding practices, and timely reimbursement across our orthopedic clinics.

*Please do not call in to Specialty Orthopedic Group regarding this position.

JOB SUMMARY
The Coding & Reimbursement Specialist plays a critical part in protecting revenue integrity while ensuring coding accuracy aligns with payer guidelines, regulatory requirements, and SOG’s standards of excellence. The ideal candidate combines technical coding expertise with strong analytical skills and a proactive, solution-focused mindset.

JOB RESPONSIBILITIES
Professional & Facility Coding

Review and assign accurate CPT, HCPCS, and ICD-10 codes for orthopedic clinic encounters, procedures, injections, DME, imaging, and ancillary services.
Ensure appropriate modifier usage (e.g., -25, -59, -LT/RT, etc.).
Validate documentation supports coded services and query providers when clarification is needed.
Maintain up-to-date knowledge of specialty-specific coding changes.

Charge Review & Revenue Integrity

Perform daily charge review to ensure completeness and accuracy prior to claim submission.
Identify undercoding, overcoding, and missed charge opportunities.
Monitor edits and scrub claims for compliance and clean claim submission.
Collaborate with clinical teams to improve documentation supporting billable services.

Reimbursement & Denial Management

Analyze coding-related denials and develop corrective action plans.
Submit corrected claims and appeals as appropriate.
Track payer trends and communicate recurring issues to leadership.
Assist with payer audits and documentation requests.

Compliance & Education

Ensure adherence to CMS, commercial payer, and state-specific billing regulations.
Participate in internal audits and compliance reviews.
Provide coding education and feedback to providers and clinical staff.
Support annual coding updates and implementation of regulatory changes.

Reporting & Analytics

Generate and review coding accuracy and reimbursement reports.
Monitor RVU capture and reimbursement trends.
Assist leadership with benchmarking and payer mix analysis.

JOB QUALIFICATIONS
Education & Certification

CPS, RHIT, CCS
Orthopedic coding experience strongly preferred.

Experience

3+ years of medical coding experience (orthopedics highly preferred).
Strong knowledge of CPT, ICD-10, HCPCS, and modifier usage.
Experience with EHR and practice management systems.
Familiarity with Medicare, Medicaid, and commercial payer policies.

Core Competencies

High attention to detail and accuracy
Strong analytical and problem-solving skills
Ability to interpret payer guidelines and apply them appropriately
Professional communication with providers and staff
Commitment to compliance and ethical billing practices
Team-oriented with a proactive mindset

Original job Coding & Reimbursement Specialist posted on GrabJobs ©. To flag any issues with this job please use the Report Job button on GrabJobs.

Auto-Apply to Similar Jobs

Share Job

Get your Resume Reviewed for Free

Automate Job Applications for Similar Jobs

Auto-Apply to Coding & Reimbursement Specialist Jobs with your AI JobCopilot

Auto-Apply with AI

Similar Coding & Reimbursement Specialist Jobs in the US

Get your Resume Reviewed for Free

Email address

Why are you reporting this job?

I think it’s a discriminatory or offensive

I think it’s fraudulent or a scam

I think it’s trying to sell something unrelated to the job / it’s asking for money

I think it contains incorrect or broken information

Other

All Job Ads are subject to GrabJobs’s Terms of Service. We allow users to flag postings that may be in violation of those terms. Job Ads may also be flagged by GrabJobs moderation team. However, no moderation system is perfect, and flagging a posting does not ensure that it will be removed.

Setup your job alert:

Frequency

By activating job alerts, I agree to GrabJobs Terms & Privacy Policy. I can unsubscribe to job alerts anytime. Skip

Coding & Reimbursement Specialist

Job Description - Coding & Reimbursement Specialist

Similar Coding & Reimbursement Specialist Jobs in the US

Mobile Apps