Coding Specialist 3 - Neurosurgery
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 Specialist 3 supporting Neurosurgery 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 Neurosurgery 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. As a Coding Specialist 3, you will serve as a subject matter expert in professional fee coding for Neurosurgery, applying advanced coding knowledge to highly complex surgical, procedural, and Evaluation & Management services. This role requires a strong understanding of clinical documentation, regulatory requirements, and payer expectations, with a focus on quality, accuracy, and compliance. This position offers a rewarding balance of autonomy, technical complexity, and meaningful impact on the delivery of specialized neurosciences care.
Requirements
- High School Diploma or GED
- 5+ years of relevant coding experience required
- Certified Professional Coder (CPC) required
Nice To Haves
- Advanced Neurosurgery expertise
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
- Paid Time Off
- Long-term and Short-term Disability
- Retirement Savings
- Health Saving Plans
- Flexible Spending Accounts
- Certification and education support
- Generous Paid Time Off
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
High school or GED
