Coding Quality Specialist 3 - GI Coder
About The Position
Accurate coding is critical to the financial health, compliance, and operational success of a high-performing academic health system. This opportunity allows an experienced neurosurgery coding professional to contribute directly to revenue integrity, regulatory compliance, and the support of exceptional patient care through expert coding practices. As a fully remote Coding Specialist 3, you will serve as a subject matter expert in Gastrointestinal professional fee coding, independently reviewing complex clinical documentation and assigning accurate codes for surgical procedures, office-based services, and Evaluation & Management encounters. This role offers the opportunity to apply advanced coding expertise while partnering with providers and revenue cycle professionals to ensure coding accuracy, quality outcomes, and compliance. In this highly specialized position, you will utilize your expertise in neurosurgery coding to accurately translate complex clinical services into compliant medical codes while supporting reimbursement, reporting, and revenue cycle performance. Working remotely, you will analyze provider documentation, resolve coding challenges, and help ensure the integrity of coded data across a variety of patient encounters.
Requirements
- High School Diploma or GED required.
- 5+ years of relevant coding experience required.
- Certified Professional Coder (CPC) required.
Nice To Haves
- Experience in neurosurgery coding.
Responsibilities
- Independently reviewing and coding complex neurosurgery surgical procedures, office-based procedures, and Evaluation & Management encounters.
- Applying advanced knowledge of CPT, ICD-10-CM, modifier assignment, NCCI edits, global surgical package rules, and payer-specific requirements.
- Interpreting provider documentation to accurately capture services rendered and ensure complete, compliant code assignment.
- Identifying documentation gaps, coding risks, and compliance concerns while determining when provider clarification is needed.
- Supporting coding quality through research and application of coding guidelines, LCDs, NCDs, payer policies, and regulatory requirements.
- Utilizing tools such as Epic, EncoderPro, charge review processes, and work queue management systems to maintain coding accuracy and productivity.
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
