Job Description & How to Apply Below
We are hiring a Certified Surgery Medical Coder with strong experience in US Healthcare surgical coding. The ideal candidate must be CPC or CCS certified and possess hands-on exposure to coding complex surgical procedures with high accuracy and compliance.
Responsibilities:
- Review operative reports, discharge summaries, and physician documentation to assign accurate CPT, ICD‑10‑CM, and HCPCS codes for surgical services.
- Ensure correct application of modifiers, bundling/unbundling rules, and adherence to CCI edits.
- Comply with Medicare, Medicaid, and commercial payer guidelines.
- Analyze documentation for completeness and raise queries for missing or unclear information.
- Maintain coding accuracy, productivity standards, and turnaround time (TAT) metrics.
- Participate in internal quality audits and compliance reviews.
- Stay up to date with annual coding guidelines and regulatory changes.
Qualifications
- 3–5 years of experience in Surgery Medical Coding (US Healthcare).
Required Skills:
- Strong knowledge of CPT, ICD‑10‑CM, and HCPCS coding systems.
- Hands-on experience in IP/OP surgical coding.
- Sound understanding of LCD/NCD guidelines and payer policies.
- Experience using EMR/EHR systems and encoder tools.
- High attention to detail and strong analytical skills.
Preferred
Skills:
- Certification (Mandatory) CPC OR CCS Certification (AAPC / AHIMA)
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