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TYPE OF WORK
Part Time
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SALARY
$8 - 12/hr DOE
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HOURS PER WEEK
20
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DATE UPDATED
Aug 31, 2026
We are looking for an experienced U.S. medical coder / coding auditor with strong experience in orthopedic, spine, and musculoskeletal physician coding.
Our company, MedCode Pro, helps physicians and procedural clinics identify CPT codes, modifiers, add-on codes, and documentation requirements that may have been missed during billing.
We are performing audits where we review approximately 60 days of clinic claims and compare the billed codes against the supporting clinical notes. The focus will be orthopedic and spine-related physician services, including clinic visits, procedures, injections, and operative notes.
This role is ideal for someone who can read provider documentation and determine what codes are supported, what may have been missed, and what documentation is needed to support the recommendation.
Responsibilities
- Review de-identified orthopedic and spine-related clinical notes, procedure notes, operative reports, and claim/superbill data
- Compare documented services against codes that were actually billed
- Identify potential missed CPT codes, add-on codes, modifiers, HCPCS codes, and ICD-10-CM opportunities
- Review E/M coding where relevant, including documentation support and modifier use
- Flag documentation gaps where a code may be possible but not fully supported
- Identify potential undercoding, overcoding, bundling, unbundling, or compliance risks
- Provide a clear coding rationale for each recommendation
- Summarize findings in a structured audit format
Specialty Focus
We are especially interested in experience with:
- Orthopedic surgery
- Spine surgery
-Musculoskeletal procedures
- Pain-related spine procedures
- Injections and procedure coding
- Imaging-guided procedures, if applicable
- E/M coding for orthopedic clinics
- Modifiers commonly used in physician billing
- Add-on codes and bundled procedure logic
Required Qualifications
Experience with U.S. physician/professional fee coding
Experience coding or auditing orthopedic, spine, or musculoskeletal claims
Strong understanding of CPT, ICD-10-CM, HCPCS, and modifiers
Ability to read clinical documentation and determine what codes are supported
Experience reviewing clinic notes, procedure notes, operative reports, claims, or superbills
Strong written English
Detail-oriented and able to explain coding rationale clearly
Comfortable working with spreadsheets or structured audit templates
Preferred Qualifications
CPC, CCS-P, CPMA, or similar certification
Orthopedic coding experience or specialty certification
Experience as a medical coding auditor, ProFee coder, physician coding auditor, or revenue integrity coding specialist
Experience identifying missed CPT codes, add-on codes, modifiers, or undercoding
Experience with NCCI edits, bundling rules, payer rules, denials, or documentation improvement
Familiarity with orthopedic/spine coding areas such as:
Arthroscopy
Fracture care
Joint procedures
Spine decompression/fusion procedures
Epidural steroid injections
Facet injections / medial branch blocks
Radiofrequency ablation
Trigger point / joint injections
Durable medical equipment, braces, or orthotics, if applicable
Important
We are not looking for someone who only has experience with basic billing, charge entry, payment posting, or AR follow-up.
We need someone who can independently review documentation and answer:
“Based on this orthopedic or spine note, what could have been coded, what was missed, and what documentation supports the recommendation?”
