Facility Surgery Coder

Coding Concepts LLC; Gilbert (AZ); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Facility Surgery Coder to ensure accurate medical coding for surgical procedures across various specialties. In this remote role, you will review and assign ICD-10-CM, CPT, and HCPCS codes, ensuring compliance with coding guidelines and payer regulations. Your expertise will help facilitate appropriate reimbursement and maintain data integrity. This position offers a flexible schedule and opportunities for advancement, making it an exciting chance to contribute to a vital aspect of healthcare coding. Join a team that values integrity and transparency while supporting clients in achieving their strategic objectives.

Benefits

Flexible schedule

Opportunity for advancement

Qualifications

• Certified Professional Coder (CPC) or equivalent certification required.
• 5+ years of experience in surgery coding within hospital settings.

Responsibilities

• Assign accurate codes for surgical procedures and diagnoses.
• Conduct self-audits and maintain compliance with coding guidelines.

Skills

ICD-10-CM

CPT

HCPCS

Surgery Coding

Analytical Skills

Communication Skills

Organizational Skills

Education

Certified Professional Coder (CPC)

Certified Coding Specialist (CCS)

5+ years of experience in surgery coding

Tools

Epic

Cerner

Meditech

Job description

Benefits:

1. Full-time or Part-time
2. Flexible schedule
3. Opportunity for advancement

Job Title: Facility Surgery Coder

Location: Remote

Company: Coding Concepts, LLC

About Us:

At Coding Concepts, our foundation is built on core values of integrity, transparency, and an unwavering commitment to our clients. Our primary goal is to collaborate with clients to achieve their strategic objectives. We are dedicated to helping them develop a robust foundation and effective business strategy, ensuring their success.

Job Summary:

The Facility Surgery Coder is responsible for reviewing and assigning accurate medical codes for surgical procedures, diagnoses, and services provided in inpatient and outpatient settings. Specialties included but not limited to general surgery, gynecology, pain management (injections, implants, and epidurals), spine (fusion and implants), orthopedics, ear, nose, and throat. The coder ensures compliance with coding guidelines, payer regulations, and hospital policies to facilitate appropriate reimbursement and data integrity.

Job Description:

1. Assign accurate ICD-10-CM, CPT, and HCPCS codes for surgical procedures, diagnoses, and services based on provider documentation.
2. Abstract pertinent information from medical records to ensure completeness and accuracy.
3. Validate documentation to ensure coding meets regulatory, payer, and institutional requirements.
4. Query physicians or other healthcare providers when clarification is needed.
5. Adhere to Official Coding Guidelines, CPT Assistant, AHA Coding Clinic, and payer policies to maintain compliance.
6. Conduct self-audits and participate in quality reviews to maintain accuracy and meet productivity standards.
7. Stay updated with Medicare, Medicaid, and private payer regulations related to surgical coding.
8. Assist in coding-related audits, denials, and appeals by providing accurate coding justifications.

Qualifications:

1. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification.
2. Minimum 5 years of experience in surgery coding within a hospital and ambulatory setting.
3. Strong knowledge of ICD-10-CM, CPT, HCPCS Level II, and DRG/APC reimbursement systems.
4. Familiarity with EMR systems (e.g., Epic, Cerner, Meditech).
5. Ability to interpret operative reports and surgical procedures accurately.
6. Strong understanding of anatomy, physiology, and medical terminology related to surgery.
7. Excellent analytical, communication, and organizational skills.
8. Attention to detail and ability to meet productivity benchmarks.

This is a remote position.