Hybrid Surgical Coding Specialist (CPT/ICD-10)

Integrative Emergency Services, LLC; Clayton (MO); Hybrid; USD 60,000 - 85,000; Full time

Benefits offered by this job

Hybrid work arrangement

Flexible scheduling

Job summary

Integrative Emergency Services (IES) is seeking a certified Medical Coding Specialist with emphasis on surgical services. The role focuses on accurate professional fee coding and documentation review for surgical service lines, ensuring CPT, HCPCS Level II, and ICD-10-CM codes meet payer guidelines and regulatory standards.

Hybrid work arrangement at our Dallas, TX location, requiring active AAPC or AHIMA certification.

Qualifications

• High school diploma or equivalent.
• Minimum five (5) years of professional medical coding experience.
• Strong surgical coding experience required.
• Active coding certification through: AAPC or AHIMA
• Preferred: Surgical related Coding Certification (CGSC, CASCC, CCVTC, etc) or CPMA auditing
• Experience conducting internal coding audits.
• Experience with CMS Part B and commercial payer reimbursement methodologies

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

Skills

CPT ICD-10-CM coding

HCPCS Level II coding

NCCI edits and bundling

Auditing and denials analysis

Analytical thinking

Attention to detail

Microsoft Office

Communication skills

Confidentiality and discretion

Education

High school diploma or equivalent

5+ years professional medical coding experience

AAPC or AHIMA coding certification

Tools

EHR systems

Practice management systems

Claim scrubber tools

Job description

Integrative Emergency Services (IES) is seeking a certified Medical Coding Specialist with emphasis on surgical services. The role focuses on accurate professional fee coding and documentation review for surgical service lines, ensuring CPT, HCPCS Level II, and ICD-10-CM codes meet payer guidelines and regulatory standards.

Hybrid work arrangement at our Dallas, TX location, requiring active AAPC or AHIMA certification.