Emergency Department Profee Coding Specialist

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

📋 Description

• Deliver CPT, HCPCS, and ICD-10-CM coding across four or more specialties for one or multiple clients or facilities.

• Execute Professional Fee, Facility, or HCC coding, including inpatient coding or coding spanning various specialties.

• Offer coding services to enhance client support.

• Calculate ProFee and/or Facility E/M levels utilizing the company algorithm.

• Identify critical care cases based on patient acuity levels.

• Code surgical procedures typical in an emergency room setting to optimize revenue capture when suitable.

• Apply ICD-10-CM diagnosis codes with the utmost specificity.

• Accurately apply ICD-10-CM, ICD-10-PCS, CPT®, and HCPCS diagnosis and procedure codes.

• Interpret coding guidelines to ensure precise code assignment.

• Recognize the influence of documentation on code assignment and reimbursement.

• Uphold necessary quality and productivity standards.

• Engage professionally with clients to build strong working relationships.

• Support Leadership or the Lead Coding Specialist with reports as required.

• Potentially assist with auditing tasks.

• Participate in training and educational programs provided by the company.

• Safeguard confidential information, including Personal Health Information.

• Adhere to AHIMA ethical coding standards, the Company’s Code of Ethics and Business Conduct, and the Ethics and Compliance Program.

⛳️ Requirements

• AAPC certification (CPC or COC) or AHIMA certification (CCS or CCS-P) is required.

• At least 2 years of relevant experience.

• Advanced proficiency with EMR and billing systems.

• Strong skills in Microsoft Excel and Outlook.

• Capability to open and modify spreadsheets, perform basic calculations, and create basic pivot tables in Excel.

• Ability to manage emails and schedule as well as attend meetings in Outlook.

• Up-to-date CPT and ICD-10-CM coding references.

• Demonstrate regular, predictable, and punctual attendance.

• Maintain a productivity rate of 95% or higher consistently.

• Achieve and sustain a quality score of 95% or higher.

• Exhibit effective and professional verbal and written communication skills.

• Ability to coordinate, analyze, observe, make decisions, and meet deadlines effectively.

• Capacity to work independently from home.

• Ability to operate at a computer terminal for 6–8 hours daily.

• Occasionally lift and move materials weighing up to 20 lbs.

• Comply with privacy, security, confidentiality, ethical coding standards, and company policies.

🏝️ Benefits

• Opportunities for remote work.

• Equipment will be provided.

• Training and education offered by the company.

• Potential opportunities to assist with auditing.

• Opportunities for professional development and personal growth.