Pro Fee Medical Coder

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

📋 Description

• Analyze and interpret clinical documentation to assign precise diagnosis, procedure, and evaluation and management (E/M) codes

• Implement ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, and modifier coding guidelines

• Code physician services for inpatient, outpatient, and ancillary encounters

• Ensure adherence to CMS, Medicare, Medicaid, commercial payer, and client-specific standards

• Recognize documentation gaps and communicate the need for coding clarifications

• Achieve turnaround times, productivity goals, and quality benchmarks while managing workload autonomously

• Engage in coding audits, quality assessments, educational sessions, and initiatives for process enhancement

• Stay updated on coding changes, regulatory developments, payer policies, and industry best practices

• Collaborate with coding leadership, auditors, and client representatives to address coding-related challenges

• Enhance revenue cycle optimization through precise and prompt coding practices

⛳️ Requirements

• Minimum of 2+ years of experience in both inpatient and outpatient physician-fee medical coding

• Familiarity with various encounter types including Inpatient, Long Term Care, Observation, Emergency, Same Day Surgery, Clinic Visits, and Ancillary services

• Background in specialties such as cardiology, dentistry and oral/maxillofacial surgery, dermatology, endocrinology, otolaryngology (ENT), gastroenterology, hematology/oncology, infectious disease, internal medicine, musculoskeletal/orthopedic medicine, nephrology, neurology, obstetrics and gynecology, optometry/ophthalmology, anesthesiology, pain management and palliative care, psychology, pulmonary medicine, rheumatology, general surgery, plastic surgery, and urology

• Active AAPC or AHIMA coding certification is required

• Demonstrated ability to work independently and effectively in a remote setting

• Epic experience is highly preferred

• Proficient understanding of ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, modifier coding guidelines, official coding conventions, and regulatory standards

• Knowledge of compliance pertaining to CMS, Medicare, Medicaid, commercial payer, and client-specific coding requirements

🏝️ Benefits

• Medical, dental & vision

• Critical Illness, Accident, and Hospital coverage

• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available

• Life Insurance (Voluntary Life & AD&D for the employee and dependents)

• Short and long-term disability coverage

• Health Spending Account (HSA)

• Transportation benefits

• Employee Assistance Program

• Time Off/Leave (PTO, Vacation or Sick Leave)