Coding Specialist II – Profee Primary Care

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

📋 Description

• Select and arrange ICD-10 and/or CPT/HCPCS codes for various patient categories, which include ancillary/diagnostic, recurring, hospital, clinic, physician professional fee, technical fee, and evaluation and management.

• Review and assess facility records to ensure that APC assignments and/or evaluation and management codes accurately represent documented diagnoses and procedures.

• Abstract clinical data following documentation review to support diagnoses, procedures, and discharge outcomes.

• Complete assigned tasks utilizing appropriate resources.

• Serve as a resource for client personnel regarding data integrity, clarification, and compliant coding practices, including provider inquiries.

• Uphold strict patient and provider confidentiality in accordance with HIPAA regulations.

• Engage in client and Savista meetings, training sessions, and conference calls.

• Stay updated on ICD-10, CPT/HCPCS, coding guidelines, government regulations, protocols, and third-party requirements.

• Participate in continuing education to enhance knowledge, skills, and maintain current credentials.

• May validate APC calculations and collaborate with client staff and providers.

⛳️ Requirements

• Candidates must successfully complete a pre-employment skills assessment.

• An active AHIMA credential such as RHIA, RHIT, CCS, CCA, or an active AAPC credential like COC, CCS-P, CPC, or a related specialty credential is required.

• A minimum of two years of recent and relevant hands-on coding experience is necessary.

• Familiarity with medical terminology, anatomy and physiology, pharmacology, pathophysiology, ICD-10, and CPT/HCPCS code sets is essential.

• Ability to consistently code at a 95% quality threshold while adhering to client-specific and/or Savista production and/or quality standards.

• Proficient in computer applications including Microsoft Office, Outlook, Word, and Excel; capable of entering data and sorting/filtering Excel files.

• Excellent interpersonal and problem-solving abilities with both internal and external customers.

• Recent and relevant experience in an active production coding environment is highly preferred.

• An associate degree in Health Information Management (HIM) or a healthcare-related field, or a combination of equivalent education and experience is preferred.

• Experience with Rcx, Cerner, or NextGen is an advantage.

🏝️ Benefits

• Comprehensive health, dental, and vision insurance options.

• Paid time off and flexible working hours.

• Opportunities for professional development and continuing education.

• Supportive work environment with a focus on employee well-being.