Medical Coding Specialist - Surgical Services
About The Position
Integrative Emergency Services, LLC (IES) is seeking a certified Medical Coding Specialist focused on surgical services. The role is responsible for accurate professional-fee coding and documentation review for assigned surgical service lines (URSA / NTCC / TSN). The specialist reviews medical records and assigns CPT, HCPCS Level II, and ICD-10-CM codes in accordance with payer guidelines and regulatory standards. The position supports documentation integrity, identifies coding compliance risks such as undercoding, overcoding, and unbundling, and contributes to clean claim submission and appropriate reimbursement through coding analysis, audits, and special projects. The position may be performed in a hybrid or remote setting. Remote employees must reside in a state where IES operates: Arizona, Colorado, Texas, Oklahoma, Indiana, Missouri, Alabama, South Carolina, or Florida. An active coding certification through AAPC or AHIMA is required. Some local and overnight travel may be required as business needs dictate.
Requirements
- High school diploma or equivalent.
- At least five years of professional medical coding experience.
- Strong surgical coding experience.
- Active coding certification through AAPC or AHIMA.
- High-level knowledge of general surgery-related medical terminology, anatomy, and pathophysiology.
- Strong understanding of CPT procedure coding, HCPCS Level II procedure and supply codes, and ICD-10-CM diagnosis coding.
- Knowledge of coding in surgical practices, ambulatory surgery centers, and hospital settings.
- Ability to evaluate documentation for medical necessity and coding compliance.
- Strong understanding of National Correct Coding Initiative (NCCI) edits and bundling guidelines.
- Ability to audit reports, conduct focused reviews, and participate in special projects.
- Advanced analytical and problem-solving skills, with high attention to detail and accuracy.
- Proficiency with EHR systems, practice management systems, claim scrubber tools, and Microsoft Office applications.
- Strong written and verbal communication skills.
- Ability to manage multiple priorities, meet deadlines, maintain confidentiality, and exercise professional discretion.
- If working remotely, residence in Arizona, Colorado, Texas, Oklahoma, Indiana, Missouri, Alabama, South Carolina, or Florida.
Nice To Haves
- Surgical-related coding certification such as CGSC, CASCC, or CCVTC, or an auditing certification such as CPMA.
- Experience conducting internal coding audits.
- Experience with CMS Part B and commercial payer reimbursement methodologies.
Responsibilities
- Accurately assign CPT, ICD-10-CM, and HCPCS Level II codes for professional surgical services based on thorough medical record review.
- Evaluate medical records for proper code assignment, completeness, accuracy, and support of medical necessity.
- Ensure coding compliance with CMS, commercial payer, and regulatory guidelines.
- Identify and address undercoding, overcoding, modifier misuse, and unbundling issues.
- Apply appropriate modifiers and ensure correct provider, place of service, and payer selection.
- Conduct claim reviews to support clean claim submission and reduce denials.
- Audit coding accuracy through ad hoc reports, focused reviews, and special projects.
- Analyze coding-related denials and recommend corrective actions.
- Review payer policies and stay current on annual coding updates and regulatory changes.
- Collaborate with providers and operational leadership to clarify documentation and improve coding specificity.
- Maintain department productivity and quality benchmarks.
- Serve as a subject matter resource for surgical coding guidance within assigned service lines.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
