Profee Surgery Coders & QAs - Hyderabad

Job Title:

Multispecialty Surgery Coding SME (Professional & Facility)

Job Summary:

We are seeking an experienced Multispecialty Surgery Coding Expert to serve as a Subject Matter Expert (SME) for both professional and facility surgery coding. The SME will provide in-depth knowledge, training, auditing, and guidance on complex surgical coding across multiple specialties, ensuring compliance with ICD-10-CM, CPT, HCPCS, CMS guidelines.

Key Responsibilities:

• Serve as the go-to resource for multispecialty surgical coding questions (professional and facility).
• Perform accurate coding for complex surgical procedures across multiple specialties, including orthopedic, cardiovascular, neurological, digestive, urology, general surgery, IVR and transplant cases.
• Review operative reports, anesthesia notes, and other clinical documentation to ensure correct code assignment.
• Provide training, mentoring, and support to coders and auditors on complex surgical scenarios.
• Conduct audits, root cause analysis, and compliance reviews to identify coding/documentation gaps.
• Stay updated on official coding guidelines (CMS, AHA Coding Clinic, CPT Assistant, OIG, and payer-specific policies).
• Develop best practices, SOPs, and workflow improvements for professional and facility surgery coding.

Qualifications & Skills:

• Certification:

  CPC, CCS, CIC, or COC required (CCDS or CCDS-O preferred).

• Experience:

  Minimum 5+ years of multispecialty professional and facility coding experience, with a strong focus on surgical coding.
• Excellent knowledge of NCCI edits, modifiers, and payer-specific guidelines.
• Prior experience as an SME, trainer, or auditor in coding operations preferred.
• Strong analytical, problem-solving, and communication skills.
• Proficiency in 3M , Optum, Encoder, or other leading HIM/coding applications.

Note: Immediate and 60 days joiners are preferred

7416953366

OR

Mail: sushma.cirpur@eclathealth.com