Medical Coder

E.N.T. Specialty Partners•Irving, TX

4d•Remote

About The Position

This is a full-time, 100% remote position for an experienced surgical coder specializing in high-complexity ENT surgery. The coder will review clinical documentation and diagnostic results to accurately assign ICD-10, CPT, and HCPCS codes for billing, reporting, research, and compliance purposes. The ideal candidate demonstrates expertise in interpreting complex medical records and applying coding guidelines in accordance with ICD-10-CM Official Guidelines, CMS/MAC rules, AMA CPT standards, and all applicable regulatory requirements. This role also includes responsibility for coding-related denials and claim edits, recommending corrective actions, and ensuring payer compliance.

Requirements

High School Diploma or equivalent.
5–7 years of physician coding experience (inpatient and outpatient).
Minimum 3 years of surgical coding experience required.
CPC certification from AAPC (active and maintained).
Strong understanding of federal and state coding regulations and payer guidelines.
Exceptional attention to detail, accuracy, and time management.
Ability to work independently and effectively with multidisciplinary teams.
Strong written, verbal, and interpersonal communication skills.
Demonstrated professionalism and positive attitude.

Nice To Haves

Epic experience preferred.
ENT specialty coding experience preferred.

Responsibilities

Maintain a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.
Ensure that all services documented in the patient’s chart are coded with appropriate ICD-10 and CPT codes. When services/diagnoses are not documented appropriately, seek to attain proper documentation in a timely manner according to facility standards.
Achieve and maintain a high level of accuracy in coding while maintaining a high level of productivity. Accuracy will be monitored during monthly reviews within the facility.
Maintain average productivity standards as specified.
Work the charge, claims and coding denial queues daily to ensure all charts are worked and any corrections are communicated to the facility if necessary.
Correct and communicate charts that require re-bills to the facility daily for the re-bill process. Refer to the re-bill policy in facility guidelines.
Work directly with billing team to ensure quality standards are met for each facility.
Provide accurate answers to physicians/hospitals coding and/or billing questions within eight hours of request.
Responsible for coding or pending every chart placed in their queue within 48 hours.
Notify manager if the 48-hour turnaround standard cannot be met.
Maintain current professional credentials while employed by ESP.
Become familiar with the ESP coding resources and use it as a daily tool to correctly code and abstract for each facility.
Maintain HIPAA compliant workstations and adhere to HIPAA workstation policy.
Review and adhere to the coding division policy and procedure manual content.
Collaborate with other members of the facilities coding and billing team to maximize efficiency and reimbursement for properly documented services.
Communicate problems or coding principal discrepancies to supervisor immediately.
Other duties as required.