Coder II

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Examine medical records and accurately assign ICD-10 diagnosis and CPT procedure codes in accordance with relevant policies and regulations.

• Extract data in alignment with national, regional, and local policies.

• Oversee patient demographics, clinical documentation, and billing information across practice management systems and hospital records.

• Utilize the practice management system to manage demographics and services for both scheduled and unscheduled surgical cases.

• Access clinical documents and demographics via hospital medical record systems necessary for coding and billing.

• Collaborate with physicians and staff regarding hospital procedures.

• Provide education and support to clinical areas on proper documentation and coding of services.

• Communicate with providers concerning coding issues.

• Detect documentation deficiencies and potential compliance issues.

• Investigate unfamiliar procedures and resolve complex or ambiguous coding cases.

⛳️ Requirements

• High school diploma/GED or equivalent working knowledge is preferred.

• Must be accredited by the American Health Information Management Association (CCS-P) or the American Academy of Professional Coders (CPC).

• Preferred 3–5 years of professional medical coding experience.

• Experience in a multi-specialty setting, particularly with orthopedics, surgery, pain management, spine, or other complex procedural coding, is preferred.

• Familiarity with reviewing operative reports and clinical documentation.

• Proficient in assigning CPT, ICD-10-CM, HCPCS, and modifiers.

• Experience in resolving coding edits or documentation discrepancies.

• Strongly preferred experience with coding audits, payer guidelines, NCCI edits, and physician queries.

• Current professional coding certification such as CPC, CCS, COC, or equivalent is preferred or required based on organizational standards.

• In-depth knowledge of CPT, ICD-10-CM, HCPCS Level II, modifiers, NCCI edits, global surgical guidelines, and payer-specific coding requirements.

• Skilled in interpreting complex operative reports and selecting codes based on documented procedures.

• Strong research, analytical, and problem-solving abilities.

• Exceptional attention to detail and a commitment to coding accuracy and compliance.

• Effective written and verbal communication capabilities.

• Ability to work independently with minimal supervision.

• Capacity to manage coding workload while achieving productivity and accuracy benchmarks.

• Capability to recognize documentation deficiencies and compliance issues.

• Ability to research unfamiliar procedures and consistently apply coding guidelines.

• Adaptability to various specialties and evolving payer requirements.

• Good judgment, accountability, organizational skills, critical thinking, prioritization, and timely completion of tasks.

• Proficient in appropriately escalating complex or uncertain cases.

🏝️ Benefits

• Comprehensive benefits package including medical, dental, and vision plans.

• 100% employer-paid life insurance.

• 401(k) plan with employer match.

• Benefits commence on the first of the month following the hire date (for full-time employees).

• Generous paid sick leave and vacation time.

• Seven paid holidays each year.

• Opportunities for growth and career advancement.

• Employee referral reward program.

• Full-time remote work arrangement.