Hybrid Surgical Coding Specialist

Integrative Emergency Services, LLC

Colorado

Hybrid

USD 60,000 - 80,000

Full time

6 days ago
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Job summary

Integrative Emergency Services, LLC in Dallas, TX is seeking a certified Medical Coding Specialist focused on surgical services. This role codes CPT, ICD-10-CM, and HCPCS Level II for professional services, reviews records for accuracy and compliance, and supports clean claim submission.

Hybrid work arrangement at 4835 Lyndon B Johnson Fwy, Dallas, TX; requires active AAPC or AHIMA coding certification and at least five years of surgical coding experience.

Qualifications

  • 5+ years of professional medical coding experience.
  • Strong surgical coding experience.
  • Active coding certification through AAPC or AHIMA.
  • High school diploma or equivalent.

Responsibilities

  • Accurately assign CPT, ICD-10-CM, and HCPCS Level II codes for professional surgical services.
  • Evaluate medical records for proper code assignment, completeness, accuracy, and 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.

Skills

Surgical terminology
CPT coding
ICD-10-CM coding
HCPCS Level II coding
NCCI edits
Auditing
Analytical skills
Attention to detail
EHR systems
Microsoft Office

Education

High school diploma or equivalent
5+ years medical coding experience
Coding certification (AAPC or AHIMA)

Tools

EHR systems
Practice management systems
Claim scrubber tools

Job description

Integrative Emergency Services, LLC in Dallas, TX is seeking a certified Medical Coding Specialist focused on surgical services. This role codes CPT, ICD-10-CM, and HCPCS Level II for professional services, reviews records for accuracy and compliance, and supports clean claim submission.

Hybrid work arrangement at 4835 Lyndon B Johnson Fwy, Dallas, TX; requires active AAPC or AHIMA coding certification and at least five years of surgical coding experience.

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