Neurosurgery Coding Specialist: Denials & Revenue Recovery

TRIARQ PRACTICE SERVICES; Michigan; On-site; USD 85,000 - 110,000; Full time

Job summary

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

You will code cranial, spine, and peripheral nerve cases from operative notes, then manage payer disputes, drafts appeals, and closes documentation gaps that caused denials. Team-focused with AR collaboration.

Qualifications

• Minimum three years of neurosurgery or spine coding experience
• Active coding credential (CPC/COSC/CCS) required
• Experience resolving coding-driven denials and drafting appeal narratives

Responsibilities

• Assign ICD-10-CM diagnosis codes, CPT procedure codes, diagnosis pointers, and modifiers from operative notes for cranial, spine, and peripheral nerve cases.
• Code across the surgical continuum: office visits and procedures, hospital admissions and rounding, inpatient and outpatient surgery, ASC cases, and post-operative care.
• Sequence base and add-on codes in CPT hierarchy, applying per-level vs per-session unit logic and MUE limits.
• Validate technique-dependent add-on codes against documentation (operating microscope, intraoperative neuromonitoring, stereotactic navigation).
• Apply surgical modifiers correctly and defend them on appeal with supporting documentation.
• Resolve coding-driven denials, rework and rebill corrected claims, draft appeal narratives citing notes and policy.
• Coordinate with surgeons and staff to close documentation gaps driving denials, and participate in internal coding audits.

Skills

Neurosurgery coding

CPT/ICD-10 proficiency

Denials resolution

NCCI/MUE knowledge

Payer policy familiarity

Communication with surgeons

Excel proficiency

Education

Coding credential (CPC, COSC, CCS)

Job description

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

You will code cranial, spine, and peripheral nerve cases from operative notes, then manage payer disputes, drafts appeals, and closes documentation gaps that caused denials. Team-focused with AR collaboration.