ProFee Coder, Hospitalist IP

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

📋 Description

• Accountable for examining provider documentation and accurately assigning CPT, HCPCS, and ICD-10-CM codes for physician services.

• Facilitates compliant coding, precise charge capture, and overall revenue integrity across various specialties.

• Evaluate provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes.

• Ensure that documentation supports coded services and identify/escalate any discrepancies or gaps.

• Guarantee compliance with CMS, payer-specific regulations, and official coding guidelines (including AMA and NCCI edits).

• Uphold established quality metrics (e.g., ≥95% coding accuracy) and fulfill productivity standards.

⛳️ Requirements

• Credentials: CPC, CCS-P, RHIA, or RHIT (active and in good standing).

• Experience: At least 2–3+ years of professional fee coding experience.

• Experience in hospital-based or physician practice settings is preferred.

• In-depth knowledge of CPT, HCPCS, ICD-10-CM, modifiers, NCCI edits, and payer policies.

• Strong understanding of E/M leveling guidelines, accurate capture of chronic conditions, and validation of medical inpatient encounters is required.

• Must possess the ability to independently review documentation and accurately assign CPT/HCPCS codes for both minor and major procedures, including the appropriate application of modifiers and adherence to coding guidelines.

🏝️ Benefits

• National exposure to a variety of high-acuity health systems and specialties.

• Quality-first culture with realistic expectations (not focused solely on volume).

• Flexible work options (full-time).

• Opportunity to expand into additional audit, education, and advisory services.