Job Description

Scope

Pro fee coder with a minimum of 3 year’s experience coding neurosurgery EM and procedures at a trauma 1 facility. Epic experience required and Codify experience preferred. Schedule will be M-F preferably between 8am and 5 pm CST, be the start time can be flexible within reason. For the first week of training candidates would need to be available 8a-5p CST

Core Coding Expertise

• Advanced proficiency in CPT, ICD-10-CM, and HCPCS Level II coding
• Strong expertise in professional fee (pro fee) neurosurgery coding, including complex spine and cranial procedures
• Demonstrated experience coding both Evaluation & Management (E/M) services and surgical procedures
• In-depth understanding of 2021+ E/M guidelines (office/outpatient and inpatient/observation where applicable)
• Ability to appropriately assign modifiers (e.g., -25, -59, -57, -58, -78, -79, -24) with clear documentation support
• Strong familiarity with NCCI edits, MUEs, and payer-specific coding policies

Neurosurgery-Specific Knowledge

• Comprehensive understanding of neurosurgical anatomy and terminology, including:
  • Brain, spinal cord, and peripheral nervous system
  • Spine procedures (laminectomy, discectomy, fusion, instrumentation)
  • Cranial procedures (tumor resections, craniotomies, shunt placements)
• Experience coding:
  • Spinal surgeries (cervical, thoracic, lumbar)
  • Minimally invasive and complex neurosurgical procedures
  • Neurodiagnostic services when applicable (EMG, nerve conduction studies, etc.)

E/M Coding Proficiency

• Ability to accurately code new and established visits, consults (if applicable), hospital visits, and critical care (if required)
• Strong knowledge of Medical Decision Making (MDM) leveling and/or time-based coding
• Capability to support modifier -25 usage for same-day procedures with E/M

Documentation Review & Compliance

• Skilled in analyzing provider documentation to ensure coding accuracy and completeness
• Ability to identify documentation gaps and recommend clarifications
• Strong understanding of CMS guidelines, payer regulations, and audit compliance standards
• Experience with denial avoidance and resolution strategies, especially for procedure bundling and medical necessity

Analytical & Problem-Solving Skills

• Strong ability to interpret operative reports and complex surgical documentation
• Experience identifying coding opportunities and revenue optimization areas
• Ability to resolve coding edits, denials, and payer queries

Communication & Collaboration

• Ability to effectively communicate with providers regarding documentation improvement
• Experience collaborating with billing, CDI, and audit teams
• Strong written and verbal communication skills for querying and education

1. 3 + years' experience coding pro fee neurosurgery for EM and procedures
2. Epic experience
3. Prefer Codify experience
4. Able to work M-F with the majority of the shift between 8a-5p CST
5. Able to pick up new workflows and technology easily
6. Able to ramp up productivity in 4 weeks
7. Maintain 95% accuracy in all coding
8. Good written and verbal communication

Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners to amplify teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com

AAP/EEO Statement

Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories.

Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at employeerelationsus@omegahms.com