Neurosurgery Coding Specialist: Denials & Reimbursements

TRIARQ Health; Royal Oak (MI); On-site; USD 90,000 - 120,000; Full time

Job summary

TRIARQ Health is seeking a neurosurgical coding professional to join our coding team. The role spans surgical coding and denial resolution, requiring a minimum of three years in neurosurgery or spine coding and an active credential.

The coder will handle cranial, spine, and peripheral nerve cases, own denial appeals, and work with AR to close documentation gaps. Collaboration with accounts receivable is essential.

Qualifications

• Minimum three years of neurosurgery or spine surgical coding experience.
• Hands-on resolution of coding-driven denials and rework of corrected claims.
• Strong command of NCCI PTP and MUE edits, global surgical package, and professional vs facility split billing.
• Proficiency with Microsoft Excel and payer portals.
• Ability to query surgeons for documentation clarification and educate providers.

Responsibilities

• Assign ICD-10-CM diagnosis codes, CPT procedure codes, diagnosis pointers, and modifiers for cranial, spine, and peripheral nerve cases.
• Code across office visits, hospital admissions, inpatient/outpatient surgery, ASC cases, and post-operative care.
• Validate technique-dependent add-on codes against documentation (OM, IONM, navigation).
• Apply surgical modifiers correctly and defend them on appeal with documentation.
• Query providers for clarification when documentation is ambiguous and participate in internal audits.
• Own AR queues, resolve denials, rebill, and draft appeals referencing CPT guidelines and payer policies.

Skills

Neurosurgery coding

Spine coding

Payer policy & AR

NCCI PTP & MUE edits

Excel

Education

Coding credential (CPC/COSC/CCS) or equivalent

Tools

Medical billing software

Proprietary workflow technology

Microsoft Excel

Job description

TRIARQ Health is seeking a neurosurgical coding professional to join our coding team. The role spans surgical coding and denial resolution, requiring a minimum of three years in neurosurgery or spine coding and an active credential.

The coder will handle cranial, spine, and peripheral nerve cases, own denial appeals, and work with AR to close documentation gaps. Collaboration with accounts receivable is essential.