Remote Surgical Coding Specialist (CPT/ICD-10)

Integrative Emergency Services, LLC; South Carolina; Hybrid; USD 65,000 - 90,000; Full time

Job summary

Integrative Emergency Services, LLC (IES) seeks a Medical Coding Specialist focused on surgical services. The role involves coding professional fees using CPT, ICD-10-CM, and HCPCS Level II, reviewing documentation, and ensuring compliance with CMS and payer guidelines.

Strong surgical coding experience and an active AAPC or AHIMA certification are required. Candidates may work in hybrid or remote settings; remote candidates must reside in IES-operated states (AZ, CO, TX, OK, IN, MO, AL, SC,

Qualifications

• Minimum five (5) years of professional medical coding experience.
• Strong surgical coding experience required.
• Active coding certification through: AAPC or AHIMA
• Surgical related Coding Certification (CGSC, CASCC, CCVTC, etc) or Auditing(CPMA) preferred.
• Experience with CMS Part B and commercial payer reimbursement methodologies.
• Proficiency with EHR systems, practice management systems, and claim scrubber tools.
• Proficiency in Microsoft Office applications.

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.

Skills

CPT coding

ICD-10-CM

HCPCS Level II

NCCI edits

EHR systems

MS Office

Surgical coding

Audit coding

Documentation review

CMS guidelines

Education

High school diploma or equivalent

AAPC or AHIMA certification

Tools

Practice management systems

Claim scrubber tools

Job description

Integrative Emergency Services, LLC (IES) seeks a Medical Coding Specialist focused on surgical services. The role involves coding professional fees using CPT, ICD-10-CM, and HCPCS Level II, reviewing documentation, and ensuring compliance with CMS and payer guidelines.

Strong surgical coding experience and an active AAPC or AHIMA certification are required. Candidates may work in hybrid or remote settings; remote candidates must reside in IES-operated states (AZ, CO, TX, OK, IN, MO, AL, SC,