Surgical Coding Specialist (Hybrid) – CPT/ICD-10 Expert

Integrative Emergency Services, LLC; Yuma (AZ); Hybrid; USD 60.000 - 85.000; Vollzeit

Zusammenfassung

Integrative Emergency Services, LLC 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 (URSA / NTCC / TSN).

The Coding Specialist ensures proper CPT, HCPCS Level II, and ICD-10-CM code assignment per payer guidelines and regulatory standards. The Specialist supports documentation integrity, identifies coding compliance risks (undercoding/overcoding), and

Qualifikationen

• Must have at least five years of professional medical coding experience.
• Strong surgical coding experience required.
• Active coding certification through: AAPC or AHIMA.

Aufgaben

• Accurately assign CPT, ICD-10-CM, and HCPCS codes for professional surgical services.
• Evaluate medical records for proper code assignment and medical necessity.
• Ensure coding compliance with CMS, commercial payer, and regulatory guidelines.
• Identify and address undercoding, overcoding, and unbundling issues.
• Apply modifiers correctly and ensure proper provider, place of service, and payer selection.
• Conduct claim reviews to support clean claim submissions and reduce denials.
• Audit coding accuracy through ad hoc reports and focused reviews.
• Review payer policies and stay current on coding updates.

Kenntnisse

Surgical coding

CPT coding

ICD-10-CM

NCCI edits

EHR proficiency

Analytical skills

Documentation review

Communication skills

Ausbildung

High school diploma

AAPC/AHIMA certification

5+ years coding experience

Tools

Practice management software

Claim scrubber tools

EHR systems

Jobbeschreibung

Integrative Emergency Services, LLC 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 (URSA / NTCC / TSN).

The Coding Specialist ensures proper CPT, HCPCS Level II, and ICD-10-CM code assignment per payer guidelines and regulatory standards. The Specialist supports documentation integrity, identifies coding compliance risks (undercoding/overcoding), and