Medical Coder

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 Consulting Firm that needs an Experience Medical Coder for an ongoing project. We need someone who can step in, understand the operation quickly, and start contributing. 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: $54,000 – $66,500/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 Company Description EGRAB HR Partners (EGRAB Services) is dedicated to simplifying Human Resources processes for small and mid-sized businesses. Our services include HR compliance, consulting, payroll management, employee benefits administration, recruitment, and training. Based in the Dallas–Fort Worth Metroplex, we proudly serve clients nationwide, helping organizations achieve sustainable growth through practical strategies.