Remote Surgical Coding Specialist

Integrative Emergency Services, LLC; Indiana; Hybrid; USD 52,000 - 75,000; Full time

Job summary

Integrative Emergency Services, LLC (IES) seeks a certified Medical Coding Specialist with emphasis on surgical services to ensure accurate CPT/ICD-10-CM/HCPCS coding and compliant documentation across URSA / NTCC / TSN. Hybrid or remote work options are available, with remote eligibility limited to IES states of operation.

AAPC/AHIMA certification and strong surgical coding expertise are required. 勤務地 includes collaboration with providers and leadership to improve coding specificity, monitor

Qualifications

• Five or more years of professional medical coding experience.
• Strong surgical coding experience.
• Active coding certification through AAPC or AHIMA is required.
• 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.
• 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
• High-level knowledge of general surgery-related medical terminology, anatomy, and pathophysiology.
• Strong understanding of CPT procedure coding, HCPCS Level II procedure and supply codes, and ICD-10-CM diagnosis coding.
• Knowledge of coding in surgical practices, ambulatory surgery centers, and hospital settings.
• Ability to evaluate documentation for medical necessity and coding compliance.
• Strong understanding of National Correct Coding Initiative (NCCI) edits and bundling guidelines.
• Ability to audit reports, conduct focused reviews, and participate in special projects.
• Proficiency with EHR systems, practice management systems, and claim scrubber tools.
• Proficiency in Microsoft Office applications.

Skills

Specialized medical coding

CPT coding

HCPCS Level II

ICD-10-CM coding

CMS guidelines

Auditing

Documentation review

EHR proficiency

MS Office

Communication skills

Education

AAPC or AHIMA certification

Surgical coding certification (CGSC, CASCC, CCVTC, etc) or Auditing(CPMA)

High school diploma or equivalent

Tools

EHR systems

Practice management systems

Claim scrubber tools

Job description

Integrative Emergency Services, LLC (IES) seeks a certified Medical Coding Specialist with emphasis on surgical services to ensure accurate CPT/ICD-10-CM/HCPCS coding and compliant documentation across URSA / NTCC / TSN. Hybrid or remote work options are available, with remote eligibility limited to IES states of operation.

AAPC/AHIMA certification and strong surgical coding expertise are required. 勤務地 includes collaboration with providers and leadership to improve coding specificity, monitor