Jobs Companies Genesis Orthopedics & Sports Medicine Orthopedic Claim Scrubber & Medical Coder

Sobre esta vaga de Orthopedic Claim Scrubber & Medical Coder na Genesis Orthopedics & Sports Medicine

Genesis Orthopedics & Sports Medicine · Metro Manila, Philippines

Role Overview 

We are seeking a highly skilled Orthopedic Medical Coder and Claim Scrubber with direct EPIC EHR experience to join our growing revenue cycle team. This role is critical for ensuring clean claim submissions, maintaining coding compliance, and maximizing reimbursement for complex orthopedic procedures. You will play a central role in preventing denials and optimizing revenue through detailed review and collaboration with clinical and billing teams. 

 

Key Responsibilities 

  • Comprehensive Claim Scrubbing: Review all orthopedic claims for accuracy, completeness, and compliance prior to submission. 
  • Specialized Orthopedic Coding: Assign precise CPT, ICD-10, and HCPCS codes for both surgical and clinical orthopedic services, including joint replacements, fracture care, arthroscopies, and sports medicine procedures. 
  • EPIC EHR Expertise: Utilize EPIC’s coding and claim processing modules to ensure efficient workflow and documentation accuracy. 
  • Compliance & Guidelines: Ensure all claims adhere to payer-specific, federal, and orthopedic coding regulations. 
  • Documentation Collaboration: Work with physicians and clinical staff to resolve documentation gaps or discrepancies. 
  • Denial Prevention & Analysis: Identify patterns in claim denials specific to orthopedic coding and recommend corrective measures. 
  • Continuous Learning: Stay current with orthopedic coding updates, payer policy changes, and new procedural coding requirements. 

Requirements

Required Qualifications

  • Minimum 2 years’ medical coding experience, with strong emphasis on orthopedic coding (surgical and clinical).
  • Proven experience with EPIC EHR for coding and claims management.
  • Familiarity with claim scrubber tools and understanding of revenue cycle workflows.
  • Deep knowledge of orthopedic anatomy, terminology, and procedure coding protocols.
  • Strong analytical skills, attention to detail, and ability to manage multiple priorities.
  • Ability to work independently while effectively communicating with clinical and billing teams.

Important

Applicants must have orthopedic coding and EPIC experience to be considered. Please do not apply if you do not meet these criteria.

Preferred (Not Required)

  • Coding Certification (e.g., CPC, CCS, or equivalent) strongly preferred but not required if orthopedic experience is verifiable.

Benefits

About Us 

Genesis Orthopedics & Sports Medicine delivers world-class orthopedic care to every patient, regardless of insurance status. Our mission is rooted in justice, inclusion, and innovation—reimagining musculoskeletal care to be more accessible, human, and effective. 

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Sobre a Genesis Orthopedics & Sports Medicine

At Genesis, our goal is simple: free our patients to be more active, more athletic, and to move freely in their bodies – accessible to everyone, not just the select few.

Thriving in the world requires mobility and freedom from pain, but our healthcare system often makes quality orthopedic care inaccessible to those who need it most – those on Medicaid, or Medicare, or who lack insurance. We won’t be able to solve our present orthopedic challenges with a care delivery model designed in the past.

Our collective capacity for medical care is remarkable – and our current system is underestimating it. We need a new orthopedic model, one where we value human beings regardless of income or wealth. Where prices are ethical, not exploitative. Where recovery is expedited, and surgery is a last resort (not a first option for profit-seeking orthopedists).

Our practice is fortunate to have experience in this non-traditional way of thinking. After 17 years of a successful-but-conventional practice, four years ago we went back to the drawing board to ask ourselves what would need to change in order to serve everyone, not just the lucky few who could afford our services. We reinvented the care delivery model, trying different ideas until we discovered a blueprint for delivering the high-quality care our reputation was known for, while also making the prices more ethical and affordable. It took hundreds of hours of reading, conversations, and research to pull off, but we cracked the code.

In summary, if you’re looking for a place with more autonomy, a strong mission and culture, and an opportunity to serve the underserved, we’d love to consider you for the team!

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