[Hiring] Neuro Coding Associate III @R1 RCM

Role Description

As a Neuro Coding Associate III, you will play a critical role in ensuring accurate reimbursement for the most complex and high-value procedures in healthcare. This role is for experienced coders who are actively working in neurosurgery and Neuro Interventional Radiology (Neuro IR) and are ready to operate at an elevated level in a fast-paced, production-driven environment. You will partner closely with providers and revenue cycle teams, applying your deep expertise to complex cases that directly impact hospital financial performance and patient care outcomes. This is a high-performance role designed for top-tier coders who want to operate at the highest level of their specialty. The work is demanding, highly detailed, and requires both technical expertise and strong people skills, especially when collaborating directly with providers.

• Code complex neurosurgical and Neuro IR cases daily, including spine surgeries (e.g., ACDF, back procedures), brain tumor resections, and endovascular clot retrievals performed through vascular pathways.
• Manage a high-volume workflow with an expectation of approximately sixty cases per day, balancing speed with precision in a metric-driven environment.
• Accurately code high-value cases (typically $30K–$50K per surgery), ensuring compliance with coding standards and maximizing appropriate reimbursement.
• Interpret complex clinical documentation across neurosurgery and critical care, applying advanced coding knowledge with minimal ramp-up.
• Collaborate with providers through queries, maintaining professionalism and clarity while resolving documentation gaps.
• Support additional coding workstreams when needed, while maintaining primary focus on neurosurgery and Neuro IR assignments.

Qualifications

• 4+ years of coding experience in a Neuro coding environment.
• Required certification (one or more): CCS, COC, RHIA, RHIT, or CPC.
• Experience working in production-based coding environments with defined productivity targets.

Requirements

• You are currently coding neurosurgery and/or Neuro IR cases daily — this is not a role for someone who has done it in the past, but someone actively working in this specialty today.
• You bring deep, specialized knowledge of neurosurgical procedures and documentation and can confidently work independently in complex cases.
• You thrive in a high-demand, production-driven environment and consistently meet productivity and quality expectations.
• You have a calm, professional presence when collaborating with physicians, including navigating challenging or high-pressure interactions with enthusiastic providers.
• You are meticulous, resilient, and adaptable, with strong critical thinking and time management skills.

Benefits

• Competitive benefits package.