Pro Fee Medical Coder

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

📋 Description

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

• Implement ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, and modifier coding guidelines in line with official coding conventions and regulatory frameworks.

• Assign codes for physician services in inpatient, outpatient, and ancillary settings.

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

• Recognize documentation gaps and communicate coding clarification requirements.

• Achieve established turnaround times, productivity benchmarks, and quality standards while independently managing workload.

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

• Stay informed about coding updates, regulatory changes, payer policies, and industry best practices.

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

• Contribute to revenue cycle optimization through precise and prompt coding practices.

⛳️ Requirements

• A minimum of 2+ years of experience in inpatient and outpatient physician-fee medical coding.

• Familiarity with Inpatient, Long Term Care, Observation, Emergency, Same Day Surgery, Clinic Visits, and Ancillary services.

• Experience in 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.

🏝️ Benefits

• Medical, dental & vision coverage.

• Critical Illness, Accident, and Hospital insurance.

• 401(k) Retirement Plan – Options for 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).