Surgery Coding - SME/ TL/AM / Manager

As an experienced Multispecialty Surgery Coding Expert, you will serve as a Subject Matter Expert (SME) for both professional and facility surgery coding. Your responsibilities will include:

• Being the go-to resource for multispecialty surgical coding questions (professional and facility).
• Performing accurate coding for complex surgical procedures across multiple specialties such as orthopedic, cardiovascular, neurological, digestive, urology, general surgery, IVR, and transplant cases.
• Reviewing operative reports, anesthesia notes, and other clinical documentation to ensure correct code assignment.
• Providing training, mentoring, and support to coders and auditors on complex surgical scenarios.
• Conducting audits, root cause analysis, and compliance reviews to identify coding/documentation gaps.
• Staying updated on official coding guidelines from CMS, AHA Coding Clinic, CPT Assistant, OIG, and payer-specific policies.
• Developing best practices, SOPs, and workflow improvements for professional and facility surgery coding.

Qualifications & Skills required for this role:

• Certification: CPC, CCS, CIC, or COC required (CCDS or CCDS-O preferred).
• Minimum 5+ years of multispecialty professional and facility coding experience, with a strong focus on surgical coding.
• Excellent knowledge of NCCI edits, modifiers, and payer-specific guidelines.
• Prior experience as an SME, trainer, or auditor in coding operations is preferred.
• Strong analytical, problem-solving, and communication skills.
• Proficiency in 3M, Optum, Encoder, or other leading HIM/coding applications. As an experienced Multispecialty Surgery Coding Expert, you will serve as a Subject Matter Expert (SME) for both professional and facility surgery coding. Your responsibilities will include:
• Being the go-to resource for multispecialty surgical coding questions (professional and facility).
• Performing accurate coding for complex surgical procedures across multiple specialties such as orthopedic, cardiovascular, neurological, digestive, urology, general surgery, IVR, and transplant cases.
• Reviewing operative reports, anesthesia notes, and other clinical documentation to ensure correct code assignment.
• Providing training, mentoring, and support to coders and auditors on complex surgical scenarios.
• Conducting audits, root cause analysis, and compliance reviews to identify coding/documentation gaps.
• Staying updated on official coding guidelines from CMS, AHA Coding Clinic, CPT Assistant, OIG, and payer-specific policies.
• Developing best practices, SOPs, and workflow improvements for professional and facility surgery coding.

Qualifications & Skills required for this role:

• Certification: CPC, CCS, CIC, or COC required (CCDS or CCDS-O preferred).
• Minimum 5+ years of multispecialty professional and facility coding experience, with a strong focus on surgical coding.
• Excellent knowledge of NCCI edits, modifiers, and payer-specific guidelines.
• Prior experience as an SME, trainer, or auditor in coding operations is preferred.
• Strong analytical, problem-solving, and communication skills.
• Proficiency in 3M, Optum, Encoder, or other leading HIM/coding applications.