Podiatry Coder - Full-time

Job Summary

The Podiatry Coder is responsible for reviewing, interpreting, and assigning accurate CPT, ICD-10-CM, and HCPCS codes specific to podiatric services, while ensuring compliance with federal regulations, payer policies, and organizational standards. This role reviews provider documentation and operative reports for podiatry-related procedures—including office visits, surgical procedures, wound care, and ancillary services—to abstract and code clinical data using standard classification systems.

Duties and Responsibilities

• Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day.
• Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic services, including office visits, imaging, physical therapy, and surgical procedures.
• Ensuring coding practice meets federal and state guidelines, payer-specific requirements, and company policies.
• Communicate with podiatrists and clinical staff to clarify documentation and support accurate, compliant coding.
• Monitor coding edits, denials, and rejections related to podiatry services; assist with corrections and appeals as needed.
• Collaborate with the billing team to resolve coding and reimbursement issues.
• Stay current with coding guidelines, podiatry-specific regulations, and payer updates.
• Accurately enter and itemize charge data into the billing system, ensuring completeness and adherence to internal policies.
• Assist with verifying and applying correct CPT, ICD-10, and HCPCS codes based on provider documentation; escalate complex coding issues to certified coders when needed.
• Prepare, process, and transmit insurance claims (electronic and paper) in accordance with payer requirements and deadlines.
• Collect and verify all the information necessary to complete the billing process, including patient demographics, insurance coverage, and provider charge details.
• Evolve in your role when performing supplemental responsibilities as assigned.