Role Description
Responsible for the review of medical record documentation for accurate and compliant assignment of CPT®, HCPCS and ICD-10 codes for professional services. Engages in research and educational opportunities with the MMG healthcare provider community to advance the accuracy and payment of professional services.
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Read and interpret medical record documentation in support of surgical procedures, office encounters, diagnostic and pathological services.
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Assign accurate and complete CPT®, HCPCS and ICD-10 codes, as well as modifiers and units to the source document for claim submission.
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Respond to provider’s questions by performing necessary research into coding inquiries and follow through with written communication to educate the provider in correct coding and documentation.
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Assigned specialty specific work queue(s) to include Neurosurgery and possible coverage for Orthopedics.
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Common procedures include, but are not limited to:
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Laminectomy/Laminotomy/Discectomy
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Spinal Fusion/Instrumentation
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Anterior Cervical Discectomy and Fusion (ACDF)
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Stereotactic Brain Procedures
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Selective Catheterizations
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Burr Holes/Craniotomy/Craniectomy
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Charge Review work queues containing CPT®, HCPCS and ICD-10 codes from current patient encounters will be assigned for pre-claim review.
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Responsible for specialty specific claim edit work queues to review and correct edits for timely submission to the payer.
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Participates in education programs and monthly department meetings. Communicate clearly and openly.
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Maintains 90% or higher coding accuracy.
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Maintains department’s required production.
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Other duties as assigned.
Qualifications
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High school diploma or equivalent; Associate degree is an asset.
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A minimum of two years of professional coding experience; demonstrated experience in procedural/surgical coding.
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Strong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policies.
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Independently disciplined in time management and productivity.
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Experience in electronic medical record software, preferably Epic.
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Microsoft Office proficient.
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Ability to communicate written and oral coding information to healthcare professionals.
Requirements
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Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required.
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Not required, but a bonus: Completion of Advanced Neurology and Neurosurgery Coding Course from AAPC; CIRCC.
Benefits
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Medical, dental, and vision insurance.
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Matched retirement plan.
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Employee wellness program.
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Opportunities for career growth.
Company Description
Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Our fast-growing network of providers includes more than 92 MMG ambulatory clinics, an urgent care clinic, and a virtual care service known as MethodistNOW.
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Glassdoor’s Best Places to Work 2025
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TIME’s Best Companies for Future Leaders 2025
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Military Friendly – Gold Employer 2025
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Becker’s Healthcare Top Places to Work in Healthcare 2025
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Newsweek’s Greatest Workplaces 2025