ESSENTIAL FUNCTIONS • Monitor coding backlogs, turnaround times, unresolved encounters, missing documentation, and workflow exceptions. • Reconcile coding work queues, surgery schedules, missing slips, EFS/charge capture systems, and other applicable workflows. • Serve as a senior coding resource for complex procedural, surgical, specialty, and payer-related coding questions. • Research and apply CPT, ICD-10-CM, HCPCS, NCCI, payer policies, and regulatory guidance. • Identify coding trends, workflow concerns, documentation issues, and areas of risk and provide recommendations to Coding leadership/CDI. • Support audit trend analysis, root-cause review, and development of corrective education. • Assist the Coding Manager and Supervisors with special projects, workflow reviews, market needs, and process improvement initiatives. • Escalate staffing or employee workflow and performance concerns to Coding leadership. • Provide production coding support as needed based on departmental priorities. EDUCATION • High School Diploma/GED EXPERIENCE • 5+ years of professional medical coding experience, preferably with orthopedic surgical coding. Must be AAPC/AHIMA certified with maintained credentials REQUIREMENTS • Coding Certification from AAPC/AHIMA (CPC, CCS-P, COSC) KNOWLEDGE • Knowledge of medical terminology • Strong experience reviewing operative reports and complex clinical documentation. • Advanced knowledge of CPT, ICD-10-CM, HCPCS, modifiers, NCCI edits, and payer guidelines. • Experience with coding audits, reconciliation, workflow analysis, or coding education preferred. Strong analytical, research, organizational, and communication skills. • Ability to work independently, manage multiple priorities, and serve as a senior coding subject-matter expert. • The ability to identify and resolve discrepancies in medical records or claims. • Accuracy is critical in coding, requiring meticulous attention to detail. • The ability to communicate effectively with physicians and other healthcare professionals. • Efficiently inputting and managing coding data. ABILITIES • Ability to be a resource for coding guidelines. • Ability to communicate effectively verbally and in writing. ENVIRONMENTAL WORKING CONDITIONS • Normal office environment. This is a remote position PHYSICAL/MENTAL DEMANDS • Requires sitting and standing associated with a normal office environment. • Some bending and stretching are required. • Manual dexterity using a calculator and computer keyboard ESSENTIAL FUNCTIONS