Professional Surgery Coder

HIMpros is seeking experienced Professional Surgery Coders to support professional fee surgical coding across multiple specialties. We currently have opportunities available for coders with experience in Multi-Specialty Surgery, Cardiology, Plastic Surgery, Orthopedics, Neurosurgery, ASC, and Podiatry.

The ideal candidate will have strong experience coding directly from operative reports and a thorough understanding of CPT, ICD-10-CM, HCPCS, modifiers, and professional fee coding guidelines.

Key Responsibilities

• Review and code surgical operative reports for professional fee services.
• Assign accurate CPT, ICD-10-CM, and HCPCS codes based on provider documentation.
• Code surgical procedures within one or more specialties, including:
• Multi-Specialty Surgery
• Cardiology
• Plastic Surgery
• Orthopedics
• Neurosurgery
• Ambulatory Surgery Center (ASC)
• Podiatry
• Apply appropriate modifiers, bundling guidelines, and NCCI edits.
• Review operative documentation to ensure accurate procedure and diagnosis code assignment.
• Utilize Epic and 3M/Solventum for coding, documentation review, and workflow management.
• Maintain established productivity and coding accuracy standards.
• Ensure coding practices comply with CMS guidelines, payer requirements, and applicable coding regulations.
• Participate in coding audits, quality reviews, and ongoing coding education.
• Maintain current knowledge of CPT, ICD-10-CM, HCPCS, and annual coding guideline updates.

Required Qualifications

• Professional fee surgical coding experience.
• Strong experience coding directly from operative reports.
• Experience coding within at least one of the listed surgical specialties.
• Epic experience required.
• 3M/Solventum experience required.
• Strong knowledge of CPT, ICD-10-CM, and HCPCS.
• Knowledge of surgical modifiers, bundling rules, NCCI edits, and professional fee coding guidelines.
• Ability to independently interpret complex operative reports and supporting clinical documentation.
• Active coding certification such as CPC, CCS, CCS-P, or equivalent preferred.
• Strong attention to detail and demonstrated coding accuracy.
• Must be based in the United States.