Coding Specialist – Surgical Services

🕒 July 2

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Integrative Emergency Services

201 - 500 employees

🏥 Healthcare

Healthcare

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 create a culture of excellence through leadership, research, education, knowledge translation, and data-driven decision-making. Their approach provides both clinical and financial benefits, resulting in emergency departments that deliver high-value healthcare to patients. IES is committed to enhancing emergency medicine through educational and research initiatives, involving published research and programs that promote best practices in clinical leadership and knowledge translation.

📋 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) • Proficiency with EHR systems, practice management systems, and claim scrubber tools • Strong understanding of CPT procedure coding, HCPCS Level II procedure and supply codes, and ICD-10-CM diagnosis coding

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible work hours • Paid time off • Remote work options

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