Lead Coder ASC – Multi-Site | Orthopedics & Pain Management Job – Remote, KY

We are seeking a highly experienced, certified Ambulatory Surgery Center (ASC) Coder to support a growing, multi-site, multi-specialty ASC platform specializing in Orthopedics and Interventional Pain Management!

This role requires deep expertise in ASC coding, reimbursement methodologies, implant/device billing, modifier application, and payer-specific guidelines across commercial, Medicare, Medicare Advantage, and Workers’ Compensation payers.

Beyond transactional coding, this position serves as a subject matter expert and educator, partnering with physicians and ASC leadership to optimize documentation, compliance, and revenue capture while supporting scalable coding operations as the organization expands.

Proficiency in SIS (Surgical Information Systems) and/or HST Pathways is required.

Key Responsibilities

Review operative reports and assign accurate CPT, HCPCS, ICD-10-CM codes and appropriate modifiers.
Apply correct ASC payment indicators and ensure compliance with CMS ASC guidelines.
Code complex orthopedic and pain procedures including arthroscopy, spine injections, RFAs, SCS trials/implants, kyphoplasty, and peripheral nerve procedures.
Ensure complete and accurate implant/device reporting.

Physician & ASC Leadership Education

Serve as a coding and documentation resource for surgeons and clinical teams.
Provide education to physicians on documentation specificity, medical necessity, modifier usage, and bundling rules.
Educate ASC Administrators on revenue cycle impact of coding accuracy and denial prevention strategies.
Partner with operations to improve documentation workflows that enhance revenue integrity and compliance.

Multi-Site Oversight & Standardization

Promote standardized coding practices across multiple ASC locations.
Support onboarding and training of additional ASC coders as the organization grows.
Serve as a mentor and resource to junior coding staff.
Build scalable coding processes to support future site expansion.

Reimbursement Optimization & Denial Prevention

Analyze denial trends and collaborate with RCM leadership to implement corrective action.
Validate implant billing and ensure contract-aligned reimbursement.
Participate in pre-billing audits to proactively prevent denials and recoupments.

Compliance & Quality

Maintain adherence to CMS ASC payment policies, NCCI edits, LCD/NCD policies, and commercial payer rules.
Stay current on annual CPT, ICD-10, and HCPCS updates.
Participate in internal coding audits and continuous improvement initiatives.

Required Qualifications

Active coding certification required (CPC, CPC-H, CASC, CCS-P, or equivalent).
Minimum 3+ years ASC coding experience.
Extensive experience in orthopedic and interventional pain ASC coding.
Experience in multi-site ASC or platform environment preferred.
Direct experience with SIS and/or HST Pathways.
Strong understanding of Medicare ASC fee schedule and commercial reimbursement methodologies.

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Lead Coder ASC – Multi-Site | Orthopedics & Pain Management Job – Remote, KY

Key Responsibilities

Review operative reports and assign accurate CPT, HCPCS, ICD-10-CM codes and appropriate modifiers.

Apply correct ASC payment indicators and ensure compliance with CMS ASC guidelines.

Code complex orthopedic and pain procedures including arthroscopy, spine injections, RFAs, SCS trials/implants, kyphoplasty, and peripheral nerve procedures.

Ensure complete and accurate implant/device reporting.

Physician & ASC Leadership Education

Serve as a coding and documentation resource for surgeons and clinical teams.

Provide education to physicians on documentation specificity, medical necessity, modifier usage, and bundling rules.

Educate ASC Administrators on revenue cycle impact of coding accuracy and denial prevention strategies.

Partner with operations to improve documentation workflows that enhance revenue integrity and compliance.

Multi-Site Oversight & Standardization

Promote standardized coding practices across multiple ASC locations.

Support onboarding and training of additional ASC coders as the organization grows.

Serve as a mentor and resource to junior coding staff.

Build scalable coding processes to support future site expansion.

Reimbursement Optimization & Denial Prevention

Analyze denial trends and collaborate with RCM leadership to implement corrective action.

Validate implant billing and ensure contract-aligned reimbursement.

Participate in pre-billing audits to proactively prevent denials and recoupments.

Compliance & Quality

Maintain adherence to CMS ASC payment policies, NCCI edits, LCD/NCD policies, and commercial payer rules.

Stay current on annual CPT, ICD-10, and HCPCS updates.

Participate in internal coding audits and continuous improvement initiatives.

Required Qualifications

Active coding certification required (CPC, CPC-H, CASC, CCS-P, or equivalent).

Minimum 3+ years ASC coding experience.

Extensive experience in orthopedic and interventional pain ASC coding.

Experience in multi-site ASC or platform environment preferred.

Direct experience with SIS and/or HST Pathways.

Strong understanding of Medicare ASC fee schedule and commercial reimbursement methodologies.