Orthopedics Coding & Preauthorization Manager
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Job Description
Job Description
About the Role
A growing orthopedic surgical practice is looking for a hands-on coding leader to take ownership of coding accuracy and partner with the collections function to strengthen reimbursement outcomes. This is a great fit for someone who has spent real time in orthopedic coding, is comfortable navigating both standard insurance billing and attorney-driven personal injury claims, and wants to build out a coding team as the practice scales.
What You'll Own
Drive day-to-day accuracy of CPT coding for surgical cases, making sure claims go out coded correctly the first time.
Partner closely with the collections lead as a true co-owner of billing and collections outcomes - this is a shared function, not a solo one, and you'll bring feedback and ideas to improve it.
Manage the prior authorization process for upcoming surgical procedures.
Move fluidly between coding approaches depending on claim type - commercial/insurance versus attorney-driven personal injury cases - while staying compliant and defensible.
Lead, train, and grow a small in-house medical coding team that is expected to expand as volume increases.
Apply sound judgment to coding edge cases rather than rigid, one-size-fits-all rule application.
Act as the go-to person for coding questions across the practice.
What You Bring
Solid background in orthopedic surgical coding, covering both spine and extremities.
Comfortable working both insurance-based and attorney/personal-injury billing scenarios.
Medical coding certification (CPC, CCS, or equivalent) preferred.
Experience leading or mentoring a coding/billing team.
A flexible, solutions-first mindset - you look for the right compliant path forward rather than defaulting to "that's not how it's done."
Work Environment
On-site, five days a week.
Reports directly to practice leadership.
Vacancy posted 13 days ago
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