HCC Risk Coder: Surgical Case Specialist

Bronson Healthcare; United States; On-site; USD 60,000 - 90,000; Full time

Job summary

Bronson Healthcare Group is seeking an HCC Risk Professional Coder to join our team in a full-time capacity. The role focuses on detailed review of provider documentation to validate coding for surgically complex cases and to support billing and authorization processes.

You will work with physicians to justify code selections, maintain tracking spreadsheets, and run routine reports. Strong medical terminology, coding knowledge, and an ability to work independently are essential.

Qualifications

• High school diploma or GED required.
• 12–18 months coding experience in a health care setting preferred.
• Coding credential (AAPC/AHIMA) required within 12 months of hire.
• Working knowledge of ICD-9 and CPT coding with emphasis in area of specialty.
• Strong medical terminology.
• Excellent communication skills and positive customer relations.
• Ability to work independently and demonstrate effective problem-solving.

Responsibilities

• Review provider documentation/dictation for validation of codes in surgically complex cases (e.g., Neurosurgery, Cardiothoracic).
• Research code selection.
• Review work queues and post charges into the Practice Management System for hospital and office billing, validating documentation and dates of service.
• Provide codes for surgical cases for insurance authorization.
• Run reports (e.g., Charge Summary) for physician review and CBO.
• Maintain spreadsheets tracking authorizations and surgical procedures.
• Communicate rationale for selected codes with physicians.
• Relay messages to providers.
• Perform general clerical duties and complete required forms or letters.
• Perform other duties as assigned.

Skills

Medical coding

Strong medical terminology

Problem-solving

Communication skills

Education

GED/High School Diploma

Coding credential within 12 months (AAPC/AHIMA)

Tools

Practice Management System

Job description

Bronson Healthcare Group is seeking an HCC Risk Professional Coder to join our team in a full-time capacity. The role focuses on detailed review of provider documentation to validate coding for surgically complex cases and to support billing and authorization processes.

You will work with physicians to justify code selections, maintain tracking spreadsheets, and run routine reports. Strong medical terminology, coding knowledge, and an ability to work independently are essential.