Overview

Days M-F, Remote

This position exists to provide accurate and timely clinical data for billing and optimal reimbursement, quality assessment, comparative databases, physician profiling, and administrative purposes. This position is responsible for, but not limited to, physician coding, outpatient facility coding, or rectifying pre-bill coding related edits and coding related denials.

Key responsibilities/duties of this role

* CPT Coding Experts review medical records to assign accurate ICD-10-CM diagnoses and CPT/HCPCS procedure codes for surgical and observation encounters. They ensure documentation supports all coded services, apply correct modifiers, and follow official coding guidelines, NCCI edits, and payer rules. The role includes validating APC impacts, preventing denials, and meeting productivity and accuracy standards.

Must Haves

* Facility Coding Experience

Other Requirements
* Requires High School Diploma or equivalent. RHIA, RHIT, CCS, CCS-P, COC, or CPC credential required. Acceptable credentials or experience may vary depending on type of role (physician coding, facility coding, pre-bill coding edits). Requires ability to read, understand and interpret medical records and other treatment documentation.
* Requires a high level of interpersonal, problem solving, and analytic skills.
* Requires the ability to establish and maintain collaborative working relationships with others.
* Requires effective written and verbal communication skills.
* Requires strong attention to detail, problem solving and critical thinking skills.
* Requires ability to work with and maintain confidential information.