MEDICAL CODER — IONM SPECIALIST

MEDICAL CODER

—

IONM SPECIALIST

Egrab Services - 5.0 Dallas, TX Job Details Full-time $26 - $32 an hour 1 day ago Qualifications Appeals Medical coding Insurance claim appeals processing Regulatory compliance in claims processing Mid-level Certified Professional Coder Certified Coding Specialist Medical billing Medical insurance appeals management Negotiation Full Job Description You know IONM billing better than most doctors understand IONM. If that sentence made you nod — keep reading. Most coders see the acronym "IONM" and move on. You see it and think about out-of-network reimbursement strategy, modifier stacking, payer disputes, and getting every dollar the claim is entitled to. That's a rare skill — and we're looking for exactly that person. We're a Dallas-based specialty practice doing this work at a high level. We need someone who can step in, understand the operation quickly, and start contributing. Not someone who needs six months of orientation to understand the specialty.

AT A GLANCE

Job Type Contract-to-Hire (Full-Time hours) — goal is permanent placement

Specialty:

Intraoperative Neuromonitoring (IONM) — Out-of-Network billing focus

Location:

Dallas, TX — on-site to start; remote flexibility after onboarding

Pay Range:

$48,000 - $58,000/year | Negotiable based on experience & certifications

Start Date:

Immediately — we are not in "eventually hiring" mode

Texas-Based:

Preferred — must be able to come in-office during initial onboarding

WHAT YOU'LL DO

Code and submit claims for intraoperative neuromonitoring (IONM) services using appropriate CPT codes (95940, 95941, G0453 and related) Manage out-of-network billing, including payer negotiations, appeals, and reimbursement follow-up Work with the team to establish and optimize billing workflows from day one Identify and resolve claim denials, underpayments, and payer disputes Ensure compliance with payer-specific billing requirements and OON reimbursement rules Maintain accurate documentation and support auditing processes as needed

YOU'RE THE RIGHT FIT IF YOU

Have direct, hands-on experience coding and billing for IONM / intraoperative neuromonitoring services — this is non-negotiable Understand out-of-network billing at a working level: claims, appeals, payer contracts, and reimbursement disputes Hold a CPC, CCS, CPMA, or equivalent certification (preferred — but if your experience speaks louder, tell us that) Are Texas-based or willing to be on-site in Dallas for the onboarding period before transitioning to remote Are available to start quickly — this is not a pipeline role Work independently, stay organized under pressure, and don't need constant hand-holding

Pay:

$26.00 - $32.00 per hour Application Question(s): How many years of experience do you have specifically coding or billing for IONM or neuromonitoring services? What Coding certifications do you currently hold? Do you have direct, hands-on experience coding and billing for Intraoperative Neuromonitoring (IONM) services?

Work Location:

Hybrid remote in Dallas, TX 75201