Remote Physician Pro Fee Coding Specialist-Hospital Medicine

New
United StatesFull-TimeMiddle
Salary not disclosed
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Job Details

Experience
2-4 years
Required Skills
EHR

Requirements

  • High School Diploma or GED (Associate Degree in HIM or related field preferred).
  • 2-4 years of experience in physician coding, professional fee coding, or medical billing.
  • Current certification: Certified Coder-AHIMA, AAPC (CPC), or CCS-P.
  • Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
  • Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements.
  • Proficiency with electronic health records (EHR) and coding software.
  • Understanding of modifier usage and place-of-service coding.
  • Effective analytical and communication skills for working with providers and billing teams.
  • Experience with high-volume or surgical coding is preferred.
  • Additional certifications such as CEMC or RHIT are preferred.

Responsibilities

  • Assign accurate CPT, HCPCS, and ICD-10 codes based on provider documentation.
  • Ensure compliance with NCCI edits, LCDs, and NCDs.
  • Perform coding audits and quality reviews to verify documentation accuracy.
  • Resolve coding-related claim edits and holds in billing systems like Athena Collector.
  • Collaborate with physicians and revenue cycle teams to address documentation gaps.
  • Escalate coding issues to the education team to support provider training.
  • Maintain confidentiality of patient and financial data in accordance with HIPAA.
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