Professional Surgical Coder – Otolaryngology

NorthBay Solutions

. Independently code patient records for accurate physician, professional-fee, and surgical billing and reimbursement compliance .

Posted 11/6/2026full-timeFairfield • California • United StatesMid-LevelSenior💰 $42 - $51 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in professional fee coding, including surgical coding across multiple specialties, while ensuring compliance with coding guidelines and regulations. Proficient in using electronic health records and maintaining coding productivity and quality standards.

Highest-signal resume keywords

Certified Professional Coder (CPC)Five Years Experience In Professional Fee CodingKnowledge Of ICD-10-CM, CPT, And HCPCS Coding RulesEMR Medical Records ExperienceUnderstanding Of Insurance Requirements And Compliance Guidelines

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Surgical CodingCoding Guidelines ComplianceAnatomy And Physiology KnowledgeMedical Terminology ProficiencyReimbursement Methodologies KnowledgeCoding Of Assistants And Co-SurgeonsKeyboarding SkillsTechnical Aptitude For SoftwareData Analysis And Discrepancy IdentificationRegulatory Reporting Abilities

Soft Skills

Ability To Work IndependentlyAbility To Work In A Team EnvironmentSelf-Discipline For Remote WorkAbility To Meet Productivity MetricsEffective Communication With Providers

Tools & Technologies

Electronic Health Record SystemsComputer-Assisted Coding SystemsMicrosoft Office SuiteEmail Communication ToolsHigh-Speed Internet Access

Certifications & Qualifications

Certified Coding Specialist (CCS)Certified Coding Specialist – Physician (CCS-P)

Industry Keywords

Professional Fee CodingSurgical CodingInpatient And Outpatient SettingsHIPAA ComplianceTJC StandardsMedicare ComplianceWorkers’ CompensationCommercial InsuranceSpecialty Areas CodingRegulatory Standards

Tech Stack

Tools & technologies

PHP

About the role

Key responsibilities & impact

Independently code patient records for accurate physician, professional-fee, and surgical billing and reimbursement compliance
Collect visit information, analyze documentation, identify discrepancies, and query providers
Use electronic health record, abstracting, encoding, and computer-assisted coding systems
Ensure codes are accurate and correctly sequenced according to coding guidelines and government and insurance regulations
Abstract designated demographic data for internal and external regulatory reporting
Educate providers on coding and documentation requirements
Maintain department coding productivity and quality standards
Research complex or unusual coding cases and escalate unresolved questions to the manager
Maintain current knowledge of coding requirements and compliance guidelines
Serve as an organizational resource for coding and data issues
Provide feedback to the Manager, Professional Fee Coding, and escalate recurring operational problems
Work with Business Office staff to resolve billing and coding issues and correct pending diagnosis or suspend reports
Respond to audit reviews and address findings promptly
Track completed work, backlogs, physician training, and assigned duties
Maintain required certification and pursue professional development
Maintain HIPAA confidentiality and comply with organizational, safety, TJC, and regulatory standards
Report to the office as required; return to in-office work may be required if regulatory accuracy standards are not met
Perform other duties as assigned

Requirements

What you’ll need

Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Coding Specialist – Physician (CCS-P)
Five or more years of experience in professional fee coding required, including surgical coding in both inpatient and outpatient settings
Experience in a minimum of two specialties from the listed specialty areas, including Otolaryngology, OB-GYN, Orthopedics, Neurosurgery, Urology, Vascular, Cardiology, Interventional Radiology, Gastroenterology/GI Endoscopies, Podiatry, or Cardiothoracic Surgery
EMR medical records experience required
Comprehensive knowledge and application of professional-fee surgical guidelines, including coding of assistants and co-surgeons
Knowledge of anatomy and physiology, medical terminology, disease processes, reimbursement methodologies (DRGs, HCCs, APCs), and ICD-10-CM, CPT, and HCPCS coding rules and guidelines
Understanding of the clinical content of a health record
Microsoft Office proficiency, including Email, Word, and Excel
Understanding of insurance requirements and compliance guidelines for Medicare, PHP, WHA, Medi-Cal, Workers’ Compensation, and commercial insurance
Ability to meet productivity metrics and work under continual deadlines
Technical aptitude to learn software and troubleshoot equipment
Ability and self-discipline to work remotely
Ability to work independently and in a team environment
Ability to sit for long periods and lift, push, or pull 5 pounds
Keyboarding skills
Private, distraction-free home work area for HIPAA compliance
High-speed internet exceeding 125 Mbps download speed or willingness to upgrade upon offer
Full-time Monday–Friday daytime availability as assigned

Benefits

Comp & perks

Medical, dental, and vision insurance
Life, disability, and long-term care coverage
Paid time off including vacation, sick leave, holidays, and bereavement
403(b) retirement plan with employer match
Education reimbursement for eligible roles
Professional development and training programs
Employee Assistance Program
Wellness programs
Recognition programs
Shift differentials
Market-based compensation review and increases subject to approval and organizational performance
Hybrid or remote work may be available based on business needs