Integrative Emergency Services (IES) is seeking a certified medical coding specialist with an emphasis on surgical services. This role is responsible for accurate professional fee coding and documentation review for assigned surgical service lines.
The position evaluates medical records to ensure proper CPT, HCPCS Level II, and ICD-10-CM code assignment in accordance with payer guidelines and regulatory standards. The coder supports documentation integrity, identifies compliance risks such as undercoding, overcoding, and unbundling, and contributes to clean claim submission and optimal reimbursement through coding analysis, audits, and special projects.
This is a hybrid role based in Dallas, Texas.
Required
- High school diploma or equivalent
- Minimum 5 years of professional medical coding experience
- Strong surgical coding experience
- Active coding certification through AAPC or AHIMA
Preferred
- Surgical-related coding certification such as CGSC, CASCC, or CCVTC
- Auditing certification such as CPMA
- Experience conducting internal coding audits
- Experience with CMS Part B and commercial payer reimbursement methodologies
Knowledge and skills
- Strong understanding of CPT, HCPCS Level II, and ICD-10-CM 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 NCCI edits and bundling guidelines
- Ability to audit reports, conduct focused reviews, and participate in special projects
- Advanced analytical and problem-solving skills
- High attention to detail and accuracy
- Proficiency with EHR systems, practice management systems, and claim scrubber tools
- Strong written and verbal communication skills
- Ability to manage multiple priorities and meet deadlines
- Proficiency in Microsoft Office applications
- Ability to maintain confidentiality and exercise professional discretion
Location
Dallas, Texas, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
2 weeks ago