ASC Surgical Coder

Description

REMOTE, 7am - 6pm Eastern Time Hours, 40 hours per week.

MUST HAVES:

Surgical Coding for an Outpatient Ambulatory Surgery Center

Specialties preferred: Ortho, ENT, GI

Position Summary:

The Medical Coder for the Ambulatory Surgery Center (ASC) is responsible for reviewing, analyzing, and accurately assigning ICD-10-CM, CPT, and HCPCS Level II codes to surgical procedures and related diagnoses performed in the ASC setting. This role ensures coding compliance in accordance with official coding guidelines, payer policies, and regulatory requirements to optimize reimbursement and support the center’s financial integrity.

Essential Duties & Responsibilities:

• Review operative notes, pathology reports, and supporting documentation to determine appropriate procedure and diagnosis codes.

• Assign accurate CPT, ICD-10-CM, and HCPCS Level II codes in accordance with CMS, AMA, ASC, and payer-specific guidelines.

• Apply correct modifiers to reflect the procedure performed, laterality, multiple procedures, staged, or other required distinctions.

• Abstract relevant data into billing software and ensure accurate claim submission

• Ensure timely and accurate coding of all ASC encounters to meet billing deadlines.

• Collaborate with clinical staff, providers, and revenue cycle teams to clarify documentation or resolve discrepancies.

• Identify and report documentation trends, coding errors, or compliance risks.

• Assist with appeals and denials related to coding or medical necessity.

• Maintain current knowledge of coding updates, payer policies, and compliance regulations affecting ASC services.

• Support coding audits and implement feedback from quality reviews.

• Monitor and respond to payer coding updates or regulatory changes relevant to ASCs.

• Assist in tracking coding productivity, accuracy, and denial trends for quality assurance.

Qualifications:

Required:

• High school diploma or equivalent.

• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding credential.

• Minimum 2 years of medical coding experience, with at least 1 year in an ASC, surgical, or outpatient procedural setting.

• Strong understanding of CPT and ICD-10-CM coding for surgical specialties (e.g., orthopedics, ophthalmology, gastroenterology).

• Proficiency in coding procedures for common specialties such as orthopedics, ophthalmology, ENT, GI, pain management, or general surgery.

• Strong understanding of CPT guidelines for outpatient surgery and Medicare’s ASC payment system.

Skills

Surgical Coder, Surgical Coding, ASC, Ambulatory Surgery Center, Outpatient Surgery, Ortho, GI, ENT, CPC, CCPC