BWC Coding Specialist, On-site

Summary: The BWC Coding Specialist is responsible for reviewing clinical documentation and accurately assigning CPT, ICD-10, and HCPCS codes for orthopaedic procedures and services. This role ensures compliance with coding guidelines, optimizes reimbursement, and supports efficient revenue cycle operations for the practice.

General Summary of Duties: (Other duties may be assigned.)

• Review and assign accurate medical codes for diagnoses, procedures, and services using ICD-10, CPT, and HCPCS guidelines.
• Ensure coding compliance with federal, state, and payer regulations, as well as internal policies.
• Collaborate with physicians, clinical staff, and billing team to clarify documentation and resolve discrepancies.
• Monitor and stay updated on coding changes, regulations, and payer requirements.
• Assist with audits and quality assurance activities to minimize claim denials.

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required.

• Required: Strong Ohio BWC knowledge and experience.
• Preferred: Certification as a CPC (Certified Professional Coder), COC (Certified Outpatient Coder), or equivalent credential. 2+ years of orthopaedic medical coding experience.
• Strong knowledge of medical terminology, anatomy, and physiology — especially as it relates to musculoskeletal care.
• Proficient in EMR/EHR systems and Microsoft Office Suite.
• Exceptional attention to detail, accuracy, and organizational skills.

• Requires prolonged periods of sitting at desk and working at computer
• Must have good computer and telephone communication skills and able to operate misc. office equipment
• Hearing and vision abilities within normal range, or corrected, to observe and communicate with patients and staff
• Ability to work in fast-paced environment in a professional medical office setting
• Reasonable accommodations may be made to enable individuals with disabilities to perform the necessary functions

• Full time: 40 hours per week; day shift hours on weekdays

• Travel not anticipated
• Health, Dental, and Vision Insurance
• 401k Plan, 3% Safe Harbor Non-Elective Employer Contribution
• Employer-provided $25,000 Group Life Insurance
• Voluntary Life Insurance
• Short-Term and Long-Term Disability
• Accident, Hospital, Critical Illness/Cancer Benefits
• Mileage Reimbursement for travel between office locations
• Certificate and Continuing Education Reimbursement
• Accrual Paid Time Off (up to 19 days off within 1st year)