Coder Physician

Omega Healthcare Management Services•Boca Raton, FL

15h

About The Position

Scope Pro fee coder with a minimum of 3 year’s experience coding neurosurgery EM and procedures at a trauma 1 facility. Epic experience required and Codify experience preferred. Schedule will be M-F preferably between 8am and 5 pm CST, be the start time can be flexible within reason. For the first week of training candidates would need to be available 8a-5p CST

Requirements

3 + years' experience coding pro fee neurosurgery for EM and procedures
Epic experience
Able to work M-F with the majority of the shift between 8a-5p CST
Able to pick up new workflows and technology easily
Able to ramp up productivity in 4 weeks
Maintain 95% accuracy in all coding
Good written and verbal communication

Nice To Haves

Codify experience preferred

Responsibilities

Advanced proficiency in CPT, ICD-10-CM, and HCPCS Level II coding
Strong expertise in professional fee (pro fee) neurosurgery coding , including complex spine and cranial procedures
Demonstrated experience coding both Evaluation & Management (E/M) services and surgical procedures
In-depth understanding of 2021+ E/M guidelines (office/outpatient and inpatient/observation where applicable)
Ability to appropriately assign modifiers (e.g., -25, -59, -57, -58, -78, -79, -24) with clear documentation support
Strong familiarity with NCCI edits, MUEs, and payer-specific coding policies
Comprehensive understanding of neurosurgical anatomy and terminology , including: Brain, spinal cord, and peripheral nervous system
Spine procedures (laminectomy, discectomy, fusion, instrumentation)
Cranial procedures (tumor resections, craniotomies, shunt placements)
Experience coding: Spinal surgeries (cervical, thoracic, lumbar)
Minimally invasive and complex neurosurgical procedures
Neurodiagnostic services when applicable (EMG, nerve conduction studies, etc.)
Ability to accurately code new and established visits , consults (if applicable), hospital visits, and critical care (if required)
Strong knowledge of Medical Decision Making (MDM) leveling and/or time-based coding
Capability to support modifier -25 usage for same-day procedures with E/M
Skilled in analyzing provider documentation to ensure coding accuracy and completeness
Ability to identify documentation gaps and recommend clarifications
Strong understanding of CMS guidelines, payer regulations, and audit compliance standards
Experience with denial avoidance and resolution strategies , especially for procedure bundling and medical necessity
Strong ability to interpret operative reports and complex surgical documentation
Experience identifying coding opportunities and revenue optimization areas
Ability to resolve coding edits, denials, and payer queries
Ability to effectively communicate with providers regarding documentation improvement
Experience collaborating with billing, CDI, and audit teams
Strong written and verbal communication skills for querying and education