Coding Specialist – Surgical Services

🔥 1 minute ago

🌵 Arizona, Colorado, +5 more states – Remote

🌵 Arizona – Remote ⛰️ Colorado – Remote 🐊 Florida – Remote 🌪️ Oklahoma – Remote 🏰 Missouri – Remote 🌴 South Carolina – Remote 🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Integrative Emergency Services

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201 - 500 employees

Integrative Emergency Services (IES) is transforming the way healthcare is practiced across the continuum of care and furthering the emergency department’s role in value-based healthcare delivery. IES partners with physician groups to help create a culture of excellence through leadership, research, education, knowledge translation and data-driven decision-making. IES’s high-touch approach with physician groups provides both clinical and financial benefits, resulting in EDs that deliver high-value healthcare to patients and bring value to the bottom line.

📋 Description

• 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 • Identify and address undercoding, overcoding, modifier misuse, and unbundling issues • Apply appropriate modifiers and ensure correct provider, place of service, and payer selection • 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

🎯 Requirements

• High school diploma or equivalent • Minimum five (5) years of professional medical coding experience • Strong surgical coding experience required • Active coding certification through: American Academy of Professional Coders (AAPC) (ie. CPC), or American Health Information Management Association (AHIMA) (ie. CCS-P) • Certified Professional Medical Auditor (CPMA) through AAPC preferred • Experience conducting internal coding audits • Experience with CMS Part B and commercial payer reimbursement methodologies

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development