Surgical Coding Specialist — Remote/Hybrid

Integrative Emergency Services, LLC; Colorado Springs (CO); Híbrido; USD 65.000 - 90.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Hybrid/Remote work options

Descripción de la vacante

Integrative Emergency Services, LLC (IES) seeks a certified Medical Coding Specialist focused on surgical services to ensure accurate CPT, ICD-10-CM, and HCPCS Level II coding. The role includes documentation review, audits, and ensuring compliance with CMS and payer guidelines across URSA / NTCC / TSN.

Hybrid or remote work is allowed for residents in IES-operating states; candidates must hold a coding certification (AAPC or AHIMA) and have strong surgical coding experience.

Formación

• Minimum five (5) years of professional medical coding experience.
• Strong surgical coding experience required.
• Active coding certification through: AAPC or AHIMA.

Responsabilidades

• 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.

Conocimientos

CPT coding

ICD-10-CM coding

HCPCS Level II coding

CMS/ payer guidelines

Documentation review

Audits / denials analysis

EHR systems proficiency

Microsoft Office

Communication with providers

Educación

AAPC or AHIMA certification

Surgical coding certification (CGSC/CASCC/CCVTC) or CPMA auditing

Five years surgical coding experience

High school diploma or equivalent

Herramientas

Coding software tools

Practice management systems

Descripción del empleo

Integrative Emergency Services, LLC (IES) seeks a certified Medical Coding Specialist focused on surgical services to ensure accurate CPT, ICD-10-CM, and HCPCS Level II coding. The role includes documentation review, audits, and ensuring compliance with CMS and payer guidelines across URSA / NTCC / TSN.

Hybrid or remote work is allowed for residents in IES-operating states; candidates must hold a coding certification (AAPC or AHIMA) and have strong surgical coding experience.