For companies:
For professionals:
For everyone:
For developers:
Responsibilities
About the RoleWe are looking for an experienced Surgery Medical Coder with strong hands-on expertise in coding surgical cases from scratch. The ideal candidate will have deep exposure to multi-specialty surgical coding, handling complex procedures with accuracy while ensuring compliance with CMS guidelines, payer policies, and coding regulations. This role plays a key part in reducing denials and ensuring clean claim submissions for high-impact surgical specialties.Must-Have RequirementsMinimum 2 years of hands-on experience in Surgery Coding from scratchStrong expertise in CPT, ICD-10-CM, HCPCS, modifiers, NCCI edits, and CMS guidelinesProven experience handling complex surgical claims with minimal errors and denialsAbility to independently code operative reports and surgical documentationGood-to-Have RequirementsExperience in the following surgical specialties(If not all, at least the first two listed below are mandatory)Candidates without these specialties may still be considered and sent for assessment based on overall surgery coding strength.Key Surgical Coding Expertise Required1. Orthopedic Surgery Coding (Mandatory)Joint replacements (Hip, Knee, Shoulder, etc.)Fracture repairsArthroscopic proceduresSpine and spinal fusion surgeriesStrong understanding of global surgery rules, modifiers, and NCCI edits2. Cardiothoracic & Vascular Surgery Coding (Mandatory)Coronary Artery Bypass Grafting CABGValve repair and replacement surgeriesPacemaker and cardiac device insertionsFlexible bronchoscopyVATS Video-Assisted Thoracoscopic SurgeryVascular interventionsExperience with bundled services, add-on codes, and modifier usage is highly preferred3. OB-GYN Surgery CodingCesarean sectionsHysterectomies Open, Vaginal, LaparoscopicLaparoscopic gynecological proceduresFertility and reproductive surgeriesKnowledge of maternity global packages and procedure-specific guidelines4. GI Surgery CodingDiagnostic and therapeutic endoscopic proceduresBowel resectionsHernia repairsBariatric surgeriesCholecystectomyUpper GI surgical proceduresStrong understanding of surgical anatomy, bundling rules, and payer-specific guidelinesKey ResponsibilitiesAccurately code complex surgical procedures across multiple specialtiesEnsure compliance with CMS, payer policies, and coding guidelinesApply appropriate modifiers and resolve bundling issuesReview operative notes and clinical documentation for coding accuracySupport denial reduction through accurate and compliant coding practicesMaintain productivity and quality benchmarks as per organizational standardsPreferred SkillsStrong analytical and attention-to-detail skillsAbility to interpret complex operative reportsFamiliarity with EHR systems and coding toolsGood communication skills for internal collaborationStrong understanding of HIPAA and data security standardsWhy Join Us?Opportunity to work on high-complexity surgical coding casesExposure to multiple advanced surgical specialtiesCompetitive compensation and growth opportunitiesSupportive and learning-driven work environment
This job post is closed.