Coding Quality Specialist 3 - Multi Surgery
About The Position
Accurate coding is essential to quality patient care, regulatory compliance, and the financial health of a leading academic medical center. As a Coding Quality Specialist 3 supporting Multi-Surgery Professional Billing, you will play a critical role in ensuring the integrity of complex clinical documentation and coding for one of healthcare’s most specialized service lines. This fully remote opportunity is ideal for an experienced coding professional with advanced Multi-Surgery expertise who enjoys complex case review, problem-solving, and maintaining the highest standards of coding quality. You'll work independently while partnering with providers and colleagues to support compliant, accurate reimbursement and operational excellence across a nationally recognized health system.
Requirements
- High School Diploma or GED required.
- 5+ years of relevant coding experience required.
- Certified Professional Coder (CPC) required.
Nice To Haves
- Multi-Surgical Experience preferred.
Responsibilities
- Independently review, code, validate, and audit complex Neurosurgery surgical procedures, office-based procedures, inpatient encounters, and E/M services
- Analyze provider documentation to ensure complete and compliant code assignment utilizing CPT, ICD-10-CM, modifier usage, and payer-specific guidelines
- Apply advanced knowledge of Neurosurgery operative services, diagnostic procedures, therapeutic interventions, and associated E/M services
- Evaluate diagnosis specificity, laterality, anatomical detail, medical necessity requirements, and documentation sufficiency
- Review and resolve coding edits, charge review issues, and work queue assignments utilizing Epic and EncoderPro
- Interpret and apply National Correct Coding Initiative (NCCI) edits, global surgical package rules, LCD/NCD guidance, and payer billing requirements
- Identify documentation gaps, coding vulnerabilities, and compliance risks while determining when provider clarification or compliant queries are appropriate
- Support coding quality initiatives through research, education, and application of evolving coding and reimbursement guidance
- Collaborate with providers, revenue cycle professionals, and coding colleagues to promote accurate reimbursement and regulatory compliance
Benefits
- Medical, Dental, and Vision Insurance
- Generous Paid Time Off
- Retirement Savings
- Long-term and Short-term Disability
- Health Saving Plans, and Flexible Spending Accounts
- Certification and Education Support
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
