Profee Coder – Primary Care

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

📋 Description

• Review clinical documents to assign and sequence diagnostic and procedural codes for specific patient categories, ensuring compliance with hospital data or physician data retrieval for billing and reimbursement.

• Validate APC calculations to accurately reflect the diagnoses/procedures recorded in the clinical documentation for hospitals.

• Conduct documentation reviews and assessments for precise abstracting of clinical data to meet regulatory and compliance standards.

• Engage with client staff and providers as needed.

• Select and sequence ICD-10 and/or CPT/HCPCS codes for specified patient categories.

• Examine and analyze facility records to confirm that APC assignments and/or Evaluation and Management codes accurately represent the diagnoses/procedures noted in the clinical documentation.

• Abstract clinical data from the records post-documentation review to ensure it sufficiently supports the selected diagnoses, procedures, and discharge disposition.

• Complete assigned tasks using the appropriate resources.

• Serve as a resource for client staff regarding data integrity, clarification, and support in understanding and applying appropriate and compliant coding practices, including provider queries.

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

• Participate in client and Savista staff meetings, training sessions, and conference calls as requested or required.

• Maintain an up-to-date knowledge of ICD-10 and/or CPT/HCPCS coding guidelines, government regulations, protocols, and third-party requirements pertaining to coding and/or billing.

• Engage in continuing education activities to enhance knowledge, skills, and retain current credentials.

⛳️ Requirements

• A valid AHIMA (American Health Information Association) credential, such as RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credential, including COC (formerly CPC-H), CCS-P, or CPC, or related specialty credential.

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

• Proficient understanding of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 and CPT/HCPCS code sets.

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

• Strong computer skills, including proficiency in MS Office, with the ability to enter data, sort, and filter Excel files.

• Demonstrate excellent interpersonal and problem-solving abilities with all levels of internal and external customers.

🏝️ Benefits

• Competitive compensation package.

• Opportunities for professional development and continuing education.

• Health, dental, and vision insurance options.

• Flexible working hours and remote work options.