Coding & Reimbursement Specialist
Specialty Orthopedic GroupTupelo, MS
Automate your job search with Sonara.
Submit 10x as many applications with less effort than one manual application.1
Reclaim your time by letting our AI handle the grunt work of job searching.
We continuously scan millions of openings to find your top matches.
Overview
Schedule
Full-time
Education
Health Information (RHIA, RHIT)
Medical Coding (CCA, CCS, CCS-P, CPC)
Career level
Senior-level
Job Description
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 SUMMARYThe 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 RESPONSIBILITIESProfessional & 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.
- 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.
- 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.
- 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.
- Generate and review coding accuracy and reimbursement reports.
- Monitor RVU capture and reimbursement trends.
- Assist leadership with benchmarking and payer mix analysis.
- CPS, RHIT, CCS
- Orthopedic coding experience strongly preferred.
- 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.
- 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
Powered by JazzHR
Automate your job search with Sonara.
Submit 10x as many applications with less effort than one manual application.
FAQs About Coding & Reimbursement Specialist Jobs at Specialty Orthopedic Group
What is the work location for this position at Specialty Orthopedic Group?
This job at Specialty Orthopedic Group is located in Tupelo, MS, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
What pay range can candidates expect for this role at Specialty Orthopedic Group?
Employer has not shared pay details for this role.
What employment applies to this position at Specialty Orthopedic Group?
Specialty Orthopedic Group lists this role as a Full-time position.
What experience level is required for this role at Specialty Orthopedic Group?
Specialty Orthopedic Group is looking for a candidate with "Senior-level" experience level.
What is the process to apply for this position at Specialty Orthopedic Group?
You can apply for this role at Specialty Orthopedic Group either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.