Certified Medical Coder - Surgical Services

Integrative Emergency Services; United States; Hybrid; USD 55,000 - 85,000; Full time

Benefits offered by this job

Remote or hybrid work option

Work from home eligible in designated/

Flexible scheduling

Job summary

Integrative Emergency Services, LLC (IES) is seeking a Certified Medical Coding Specialist with emphasis on surgical services. Both AAPC or AHIMA certifications are acceptable; CGSC, CASCC, CCVTC or CPMA would be a plus.

The Medical Coding Specialist codes professional surgical services, reviews medical records for proper CPT, HCPCS Level II, and ICD-10-CM coding, ensures documentation integrity, and supports clean claims through audits.

Qualifications

• 5+ years of professional medical coding experience.
• Strong surgical coding experience required.
• Active CPC or CCS certification required.
• Knowledge of CPT, ICD-10-CM, HCPCS Level II, and CMS rules.

Responsibilities

• Accurately assign CPT, ICD-10-CM, and HCPCS Level II codes for professional surgical services.
• Evaluate records for medical necessity, completeness, and accuracy.
• Ensure coding compliance with CMS and payer guidelines.
• Identify undercoding, overcoding, and unbundling issues.
• Support clean claim submission through audits and reviews.
• Stay current on coding updates and payer policies.
• Collaborate with providers and leadership to clarify documentation.

Skills

CPT Coding

ICD-10-CM

HCPCS Level II

Surgical Coding

NCCI Edits

Auditing

EHR Systems

MS Office

Documentation Review

Communication Skills

Education

High School Diploma or Equivalent

5+ Years Medical Coding Experience

CPC (AAPC) or CCS (AHIMA) Certification

CGSC/CASCC/CCVTC/CPMA (Preferred)

Tools

Practice Management Systems

Claim Scrubber Tools

Job description

Integrative Emergency Services ("IES") LLC, is a physician founded, owned, and led company whose goal is to empower physician leaders to create the best places to give and receive care. We are a clinically integrated and outcomes-based organization with a commitment to doing the right thing for our clinicians, patients, and communities. Through our commitment to patient care and reinvestment in our physicians, IES has a proven track record of improving patient outcomes and producing results that uphold the hospitals' reputations in which we operate. We strive to create a culture of continuous improvement, community, and recognizing our Physician leaders. To learn more, visit our website IES.Healthcare and click to see a highlight of our 12th Annual Quality Summit.

POSITION SUMMARY

Integrative Emergency Services, LLC ("IES") is seeking a Certified Medical Coding Specialist with emphasis on surgical services. Both AAPC or AHIMA certifications are acceptable. A Surgical related coding certification such as the CGSC, CASCC, CCVTC or a CPMA certification would be a plus.

The Medical Coding Specialist is responsible for accurate professional fee coding and documentation review for assigned surgical service lines (URSA / NTCC / TSN). This role evaluates medical records to ensure proper CPT, HCPCS Level II, and ICD-10-CM code assignment in accordance with payer guidelines and regulatory standards. This role supports documentation integrity, identifies coding compliance risks (including undercoding, overcoding, and unbundling), and contributes to clean claim submission and optimal reimbursement through coding analysis, audits, and special projects. This role would support multiple surgical practices we have, primarily found in the Dallas-Fort Worth area.

Candidates can work in either a hybrid or remote setting. If remote, must reside in a state IES operates in: AZ, CO, TX, OK, IN, MO, AL, SC, FL

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Accurately assign CPT, ICD-10-CM, and HCPCS Level II codes for professional surgical services based on thorough medical record review.
• Evaluate medical records for proper code assignment, completeness, accuracy, and support of medical necessity.
• Ensure coding compliance with CMS, commercial payer, and regulatory guidelines.
• Identify and address undercoding, overcoding, modifier misuse, and unbundling issues.
• Apply appropriate modifiers and ensure correct provider, place of service, and payer selection.
• Conduct claim review to support clean claim submission and reduce denials.
• Audit coding accuracy through ad hoc reports, focused reviews, and special projects.
• Analyze coding-related denials and recommend corrective actions.
• Review payer policies and stay current on annual coding updates and regulatory changes.
• Collaborate with providers and operational leadership to clarify documentation and improve coding specificity.
• Maintain productivity and quality benchmarks established by the department.
• Serve as a subject matter resource for surgical coding guidance within assigned service lines.

QUALIFICATIONS

Knowledge, Skills, Abilities:

• High-level knowledge of general surgery-related medical terminology, anatomy, and pathophysiology.
• Strong understanding of CPT procedure coding, HCPCS Level II procedure and supply codes, and ICD-10-CM diagnosis coding.
• Knowledge of coding in surgical practices, ambulatory surgery centers, and hospital settings.
• Ability to evaluate documentation for medical necessity and coding compliance.
• Strong understanding of National Correct Coding Initiative (NCCI) edits and bundling guidelines.
• Ability to audit reports, conduct focused reviews, and participate in special projects.
• Advanced analytical and problem-solving skills.
• High attention to detail and accuracy.
• Proficiency with EHR systems, practice management systems, and claim scrubber tools.
• Strong written and verbal communication skills.
• Ability to manage multiple priorities and meet deadlines.
• Proficiency in Microsoft Office applications.
• Ability to maintain confidentiality and exercise professional discretion.

Education / Experience:

Required:

• High school diploma or equivalent.
• Minimum five (5) years of professional medical coding experience.
• Strong surgical coding experience required.
• Active coding certification through: American Academy of Professional Coders (AAPC) (ie. CPC), or American Health Information Management Association (AHIMA) (ie. CCS).

Preferred:

• Specialized coding certification such as CGSC (General Surgery), CASCC (Ambulatory Surgery), CCVTC (Cardio Thoracic Surgery) or a CPMA (Auditing).
• Experience conducting internal coding audits.
• Experience with CMS Part B and commercial payer reimbursement methodologies.

PHYSICAL DEMANDS:

• Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus
• While performing the duties of this job, the employee is regularly required to talk and hear
• Frequently required to stand, walk, sit, use hands to feel, and reach with hands and arms.
• Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to remaining seated for periods of time to perform computer-based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.)
• Occasionally lift and/or move up to 20-25 pounds
• Fine hand manipulation (keyboarding)

WORK ENVIRONMENT:

• Remote or Hybrid at Corporate office
• Corporate office: 4835 Lyndon B Johnson Fwy, Dallas, TX 75244
• The noise level in the work environment is usually low
• Remote candidates must reside in a state IES operates in:

TRAVEL:

• Limited travel may be required as business needs dictate.

ADA & Reasonable Accommodation Statement:

IES is committed to providing equal employment opportunities to qualified individuals with disabilities. In accordance with the Americans with Disabilities Act (ADA), reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. If you require accommodation during the application or employment process, please contact [e-mail].

The company is committed to creating a diverse, inclusive, and equitable environment and is proud to be an equal opportunity employer. Qualified applicants of any age, race, religion, nationality, sexual orientation, gender identity or expression, disability, or veteran status will receive equal consideration for positions. We welcome people of diverse backgrounds, experiences, and abilities and believe that the unique experiences of our team drive our success.