CPC Certified Medical Coder – Surgery (US Healthcare)
Neolytix View all jobs
- Gurgaon, Haryana
- Permanent
- Full-time
Industry: US Healthcare | Revenue Cycle Management (RCM)About the RoleWe are looking for an experienced Surgery Medical Coder with strong hands-on expertise in coding surgical cases from scratch. The ideal candidate will have deep exposure to either Orthopedic Surgery or Cardiothoracic/Vascular Surgery coding, handling complex procedures with accuracy while ensuring compliance with CMS guidelines, payer policies, and coding regulations.This role plays a key part in reducing denials and ensuring clean claim submissions for high-impact surgical specialties, including SDS (Same Day Surgery / Ambulatory Surgery) cases.Must-Have Requirements
- Minimum 2 years of hands-on experience in Surgery Coding from scratch
- CPC certification is mandatory
- Strong expertise in CPT, ICD-10-CM, HCPCS, modifiers, NCCI edits, and CMS guidelines
- Proven experience handling complex surgical claims with minimal errors and denials
- Ability to independently code operative reports and surgical documentation
- Mandatory hands-on experience in at least ONE of the below specialties:
- Joint replacements (Hip, Knee, Shoulder, etc.)
- Fracture repairs
- Arthroscopic procedures
- Spine and spinal fusion surgeries
- Strong understanding of global surgery rules, modifiers, and NCCI edits
- Coronary Artery Bypass Grafting (CABG)
- Valve repair and replacement surgeries
- Pacemaker and cardiac device insertions
- Flexible bronchoscopy
- VATS (Video-Assisted Thoracoscopic Surgery)
- Vascular interventions
- Experience with bundled services, add-on codes, and modifier usage
- Same Day Surgery (SDS) / ASC coding workflows
- Understanding of outpatient surgical bundling and modifiers
- Knowledge of payer-specific outpatient surgery guidelines
- Cesarean sections
- Hysterectomies (Open, Vaginal, Laparoscopic)
- Laparoscopic gynecological procedures
- Fertility and reproductive surgeries
- Knowledge of maternity global packages
- Diagnostic and therapeutic endoscopic procedures
- Bowel resections
- Hernia repairs
- Bariatric surgeries
- Cholecystectomy
- Upper GI surgical procedures
- Accurately code complex surgical procedures across assigned specialties
- Ensure compliance with CMS, payer policies, and coding guidelines
- Apply appropriate modifiers and resolve bundling issues
- Review operative notes and clinical documentation for coding accuracy
- Support denial reduction through accurate and compliant coding practices
- Maintain productivity and quality benchmarks as per organizational standards
- Strong analytical and attention-to-detail skills
- Ability to interpret complex operative reports
- Familiarity with EHR systems and coding tools
- Good communication skills for internal collaboration
- Strong understanding of HIPAA and data security standards
- Opportunity to work on high-complexity surgical and SDS cases
- Focused exposure to core surgical specialties (Ortho / Cardio)
- Competitive compensation and growth opportunities
- Supportive and learning-driven work environment