Coding Specialist – Surgical Services

This is a fully remote position, open to applicants in Arizona, +6 more states.

📋 Description

• Accurately assign CPT, ICD-10-CM, and HCPCS Level II codes for professional surgical services based on comprehensive medical record assessment.

• Assess medical records to ensure proper code assignment, completeness, accuracy, and justification of medical necessity.

• Maintain coding compliance with CMS, commercial payers, and regulatory standards.

• Detect and resolve issues related to undercoding, overcoding, modifier misuse, and unbundling.

• Utilize appropriate modifiers and verify correct provider, place of service, and payer selection.

• Conduct claim reviews to facilitate clean claim submissions and minimize denials.

• Audit coding accuracy through ad hoc reports, targeted reviews, and special initiatives.

• Examine coding-related denials and propose corrective measures.

• Review payer policies and keep abreast of annual coding updates and regulatory modifications.

• Collaborate with providers and operational leadership to enhance documentation and coding specificity.

⛳️ Requirements

• High school diploma or equivalent.

• At least five (5) years of professional medical coding experience.

• Strong experience in surgical coding is essential.

• Active coding certification from the American Academy of Professional Coders (AAPC) (e.g., CPC) or the American Health Information Management Association (AHIMA) (e.g., CCS-P).

• Proficient in EHR systems, practice management software, and claim scrubber tools.

• In-depth knowledge of CPT procedure coding, HCPCS Level II procedure and supply codes, and ICD-10-CM diagnosis coding.

🏝️ Benefits

• Health insurance.

• 401(k) matching.

• Flexible work hours.

• Paid time off.

• Remote work options.