Operatory Surgical Coding Specialist

We are seeking a detail-oriented and clinically knowledgeable Operatory Surgical Coding Specialist to join our Operatory team. In this role, you will ensure accurate posting of surgical cases, proper billing of supplies and implants, and correct CPT/HCPCS coding in collaboration with surgeons, clinical staff, and the Operatory Director. 

This position plays a critical role in optimizing reimbursement, preventing charge leakage, maintaining compliance, and ensuring accurate documentation for all office-based surgical procedures. 

The ideal candidate combines clinical knowledge with strong billing and coding expertise to ensure every procedure, supply, and implant is documented, coded, and billed accurately, supporting both compliance and financial performance. 

Location: This position will regularly work across both locations:

• 7858 Shrader Rd. Henrico, VA
• 15300 East West Rd. Midlothian, VA

Hours: Monday – Friday 

Key Responsibilities 

Surgical Coding & Charge Capture 

• Accurately post surgical cases using appropriate CPT, HCPCS, and modifier coding. 
• Review operative documentation to ensure coding accuracy and completeness. 
• Partner directly with surgeons to validate procedures performed and confirm surgical assistant billing requirements. 
• Identify and resolve coding discrepancies or missing documentation prior to claim submission. 

Supply & Implant Reconciliation 

• Reconcile cut sheets, purchase orders, bill-only documentation, and operative records. 
• Verify surgical supply and implant utilization for accurate charge capture. 
• Collaborate with Supply Chain and clinical teams to ensure proper inventory and implant tracking. 
• Support implant and consignment billing processes to maximize reimbursement. 

Revenue Integrity & Compliance 

• Audit surgical cases to identify opportunities for improved reimbursement and charge capture. 
• Minimize revenue leakage through accurate documentation and coding practices. 
• Maintain compliance with coding, billing, and regulatory requirements. 
• Ensure accurate and timely documentation within the EHR and inventory management systems. 

What Makes You a Great Fit 

• Experience working in a surgical environment, including an ASC, hospital operating room, or office-based operatory. 
• Strong understanding of surgical workflows, instrumentation, implants, and supplies. 
• Working knowledge of CPT/HCPCS coding principles and surgical documentation requirements. 
• Exceptional attention to detail with strong analytical and problem-solving abilities. 
• Ability to collaborate effectively with surgeons, clinical staff, supply chain teams, and revenue cycle professionals. 
• Passion for improving documentation accuracy, reimbursement, and operational efficiency. 

Qualifications

Required

• Must have previous experience in Orthopedics 
• Certified Professional Coder (CPC), CCS-P, CRC, or similar coding credentials. 
• Working knowledge of CPT, HCPCS, and modifier coding.  
• Experience in a surgical environment (ASC, hospital OR, or office-based operatory). 
• Strong understanding of surgical workflows, supplies, implants, and instrumentation. 
• High level of accuracy and attention to detail. 
• Strong analytical, organizational, and problem-solving skills. 
• Excellent communication and interpersonal skills. 
• Experience working within an electronic health record (EHR) system. 
• Ability to collaborate effectively with physicians, clinical teams, and administrative staff. 

 Preferred 

• Epic experience. 
• Experience with surgical charge capture, revenue integrity, or reimbursement optimization. 
• Experience with implant tracking, consignment inventory, and bill-only workflows. 

Candidates with experience in one or more of the following roles are strongly encouraged to apply: 

• Surgical Technologist 
• OR Materials Manager 
• Implant Coordinator 
• Surgical Coder 
• Revenue Integrity Specialist 
• Clinical Revenue Cycle Specialist