Operatory Surgical Coding Specialist

At Ortho Virginia, you’re part of a team dedicated to delivering expert orthopedic and therapy care across the state. As Virginia’s largest provider of musculoskeletal care, we offer full-time and part-time opportunities in a collaborative, team-oriented environment.

With more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads—Ortho Virginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. Our nationally recognized specialists treat a full range of musculoskeletal injuries and conditions, helping patients of all ages move, heal, and thrive.

Join us and become part of a trusted network committed to excellence in orthopedic care.

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

• 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.

• 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.

• 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.

• 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.

• 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,…