Medical Surgery Coder (Remote)

A Hospital in Los Angeles is looking for a Medical Coder with experience in Surgery experience. The Medical Coder role will focuses on accurate coding for surgical and related outpatient services, helping ensure clean claims, reliable reimbursement, and strong compliance with payer and regulatory standards. The person in the Medical Coder role will work closely with revenue cycle partners, clinical teams, and leadership to resolve coding issues, improve documentation quality, and maintain consistent coding performance. This position is a remote Monday - Friday. CPC or CCS licence is a MUST for consideration. This role is remote Monday - Friday with equipment provided.

Key Responsibilities:

• Orthopedic Surgical Coding, Surgical Abstracting, and MediCal & CCS coding and billing guidelines (Top Requirements)
• Examine surgical charge documentation and clinical records to assign accurate diagnosis, procedure, and modifier codes for billing and reimbursement activities.
• Validate charge capture details, correct coding discrepancies, and confirm proper linkage between diagnoses and procedures before claims move forward.
• Apply ICD-10 and CPT coding standards to surgical and designated diagnostic cases, including review of complex encounters requiring careful interpretation.
• Manage daily claim and coding work queues, monitor ticket volume, and help maintain timely and accurate claim submission processes.
• Review scanned charge documents for completeness and coding accuracy, escalating unusual or high-risk issues when necessary.
• Support reporting and trend analysis by tracking coding errors, identifying recurring issues, and sharing findings with management for process improvement.
• Collaborate with revenue cycle staff, physicians, clinicians, and departmental leadership to address questions, resolve escalations, and strengthen coding quality.
• Maintain working knowledge across multiple specialties and remain current on payer rules, Medi-Cal guidance, CCS, Medicare requirements, and other compliance expectations.
• Participate in audits, department meetings, and ongoing education activities while assisting with coding records management and other assigned duties.

Benefits: Health, Dental, Vision, 401k, and Sick Time Off.

• Detail-oriented experience in medical coding with a focus on surgery, outpatient services, or ambulatory care environments.
• Orthopedic Surgical Coding Experience
• Surgical abstracting experience
• MediCal & CCS coding and billing guidelines
• Strong knowledge of ICD-10 diagnosis coding, CPT procedure coding, and appropriate modifier application.
• CPC or CCS licence is a MUST for consideration.
• Familiarity with medical record abstraction and review of provider documentation for accurate code assignment.
• Understanding of payer regulations and reimbursement guidelines, including Medi-Cal and Medicare requirements.
• Ability to manage productivity targets while maintaining a high level of coding accuracy and attention to detail.
• Comfortable handling complex cases, identifying documentation or coding issues, and communicating recommendations clearly.
• Solid foundation in medical terminology, anatomy, physiology, and related clinical concepts relevant to surgical coding.