Surgery Medical Coder

Job Description

Job Description

Description :

JOB TITLE : Surgery Medical Coder

DEPARTMENT : Business Office

REPORTS TO : Coding Manager and Director of Revenue Cycle

FLSA STATUS : Hourly

JOB SUMMARY : The Surgery Medical Coder is responsible for all Endovascular & Neurosurgery coding, accurately assigning CPT, ICD-10, and HCPCS codes for professional services rendered by neurosurgeons, ensuring proper documentation and compliance with federal, state, and payer-specific guidelines. This role requires a highly skilled and detail-oriented individual with at least 2-3 years of experience in neurosurgical and endovascular coding. The ideal candidate must hold a recognized medical coding certification and demonstrate expertise in coding complex neurosurgical procedures, including but not limited to craniotomies, aneurysm repairs, embolization’s, and spinal surgeries.

JOB DUTIES & RESPONSIBILITIES :

• Accurately assign CPT, ICD-10, and HCPCS codes for endovascular and neurosurgical procedures, ensuring proper reimbursement.
• Review and interpret operative reports, procedure notes, and medical records to assign appropriate codes.
• Ensure compliance with CMS, AMA, and payer-specific regulations regarding coding and billing guidelines.
• Identify and resolve coding discrepancies by collaborating with physicians, clinical staff, and revenue cycle team members.
• Apply National Correct Coding Initiative (NCCI) edits and payer-specific coding guidelines to ensure clean claim submissions.
• Collaborate with neurosurgeons and endovascular specialists to ensure proper documentation supports coding and billing and resolve any documentation discrepancies.
• Provide education to providers on documentation best practices and coding updates to maximize reimbursement and reduce compliance risks.
• Assist in the development and maintenance of coding procedures and training materials.
• Analyze and resolve coding-related denials and rejections by working with the billing and accounts receivable teams.
• Appeal insurance denials with supporting medical documentation and correct coding guidelines.
• Audit and review coding accuracy to minimize denials and optimize reimbursement. Stay current with coding guidelines, regulations, and updates, ensuring continuous compliance with industry standards.
• Participate in the review of claim denials and provide necessary corrections or explanations.
• Maintain coding productivity and accuracy rates as established by the organization.
• Stay up to date with industry coding changes, including CPT, ICD-10, HCPCS, and payer-specific policies, and apply updates accordingly.
• Notifies supervisor of recurring problems regarding office charges.
• Attends staff meetings and participates in special committees as required
• Work closely with the Managers and Directors and clinical staff to resolve any charge-related issues or discrepancies.
• Other duties and assignments as necessary

PERFORMANCE REQUIREMENTS

TYPICAL PHYSICAL DEMANDS :

TYPICAL WORKING CONDITIONS :

EDUCATION & EXPERIENCE

Requirements :