Hiring for Surgery Coding - SME/ TL/AM / Manager

Eclat-Health-Solutions-4; Hyderabad; On-site; INR 900,000 - 1,200,000; Full time

Job summary

Eclat-Health-Solutions-4 is looking for a Multispecialty Surgery Coding SME to provide expertise in complex surgical coding across various specialties. The ideal candidate will have at least 5 years of coding experience and relevant certifications. Key responsibilities include accurate coding, training, and conducting audits to ensure compliance with official coding guidelines. This is a full-time position located in Hyderabad, India, where you will join a team focused on best practices and improvements in surgery coding.

Qualifications

• Certification in CPC, CCS, CIC, or COC required.
• Prior experience as an SME, trainer, or auditor preferred.
• Excellent knowledge of payer-specific guidelines.

Responsibilities

• Serve as the go-to resource for multispecialty surgical coding questions.
• Review clinical documentation to ensure correct code assignment.
• Conduct audits and compliance reviews for coding/documentation gaps.

Skills

CPC

CCS

CIC

COC

Strong analytical skills

Communication skills

Knowledge of NCCI edits

Education

5+ years of multispecialty professional and facility coding experience

Tools

3M

Optum

Encoder

Job description

Hiring for Surgery Coding - SME/ TL/AM / Manager

7 - 13

Full-Time

Job Title:

Multispecialty Surgery Coding – SME (Professional & Facility)

Job Summary

We are seeking an experienced Multispecialty Surgery Coding Expert to serve as a Subject Matter Expert (SME) for both professional and facility surgery coding. The SME will provide in-depth knowledge, training, auditing, and guidance on complex surgical coding across multiple specialties, ensuring compliance with ICD-10-CM, CPT, HCPCS, CMS guidelines.

Key Responsibilities

• Serve as the go-to resource for multispecialty surgical coding questions (professional and facility).
• Perform accurate coding for complex surgical procedures across multiple specialties, including orthopedic, cardiovascular, neurological, digestive, urology, general surgery, IVR and transplant cases.
• Review operative reports, anesthesia notes, and other clinical documentation to ensure correct code assignment.
• Provide training, mentoring, and support to coders and auditors on complex surgical scenarios.
• Conduct audits, root cause analysis, and compliance reviews to identify coding/documentation gaps.
• Stay updated on official coding guidelines (CMS, AHA Coding Clinic, CPT Assistant, OIG, and payer-specific policies).
• Develop best practices, SOPs, and workflow improvements for professional and facility surgery coding.

Qualifications & Skills

• Certification: CPC, CCS, CIC, or COC required (CCDS or CCDS-O preferred).
• Experience: Minimum 5+ years of multispecialty professional and facility coding experience, with a strong focus on surgical coding.
• Excellent knowledge of NCCI edits, modifiers, and payer-specific guidelines.
• Prior experience as an SME, trainer, or auditor in coding operations preferred.
• Strong analytical, problem-solving, and communication skills.
• Proficiency in 3M , Optum, Encoder, or other leading HIM/coding applications.