Dane Street is seeking experienced Board-Certified Neurological Surgeons to join our growing team of expert clinical reviewers. In this role, you will apply your Neurological Surgery expertise to conduct comprehensive reviews of clinical cases and provide objective, evidence-based medical opinions. This is a telework opportunity that allows you to customize your schedule while working as a 1099 independent contractor. Your primary responsibilities will include reviewing medical records, preparing clear and concise clinical summaries, participating in peer-to-peer discussions when appropriate, and responding to specific questions from our clients related to neurological surgery care. Join a team that values your clinical judgment and commitment to improving the quality, accuracy, and consistency of healthcare assessments. Your expertise plays a vital role in supporting high-quality, defensible medical determinations.

• Responsible for coding and charging SCMG Clinical Services as well as resolving billing edits and denials • Advanced skills in reading and interpreting documents contained in the medical record to identify and code all relevant ICD–10-CM diagnoses and CPT-4 procedures • Abstracts medical record information in compliance with CMS requirements and SCHS abstracting procedures as appropriate • Use available tools to check entries for accuracy • Reconciles CCI and Medical Necessity edits

• Responsible for coding and charging SCMG Clinical Services • Resolving billing edits and denials • Advanced skills in reading and interpreting documents contained in the medical record • Identify and code all relevant ICD–10-CM diagnoses and CPT-4 procedures • Use available tools to check entries for accuracy • Reconcile CCI and Medical Necessity edits • Maintain productivity and quality standards

• This role will have all responsibilities of coding assistant, coder I and II plus the following: assist with special projects as requested, assists with training other coders as requested, Monitors and responds to accounts in the charge router, charge router messages, CRMs, Compliance and Integrity review requests. • Adhere to organizational and internal department policies and procedures to ensure efficient work processes. • Reviews complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. • Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software. • Serves as subject matter expert in your assigned specialty and actively participate in the Coding meetings as a problem solver. • Follow up and obtain clarification of inaccurate documentation as appropriate. • Maintain continuing education by attending webinars, reviewing updated CPT assistant guidelines and updated coding clinics. • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. • Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement. • Maintains the confidentiality of patient records. • Reports any perceived non-compliant practices to the coding leader or compliance officer. • Meets and exceeds departmental quality (95% or more) and productivity standards (100%). • Achieves productivity expectations to support discharged not final billed (DNFB).