Coding Specialist – Surgical Services
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Job Description
Coding Specialist for surgical services at Integrative Emergency Services. Responsible for professional fee coding and documentation review for assigned surgical service lines.
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
- 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
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