Professional Fee Coder, ProFee

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

📋 Description

• Review provider documentation and accurately assign CPT, HCPCS, and ICD-10-CM codes for physician services.

• Ensure that documentation supports the coded services and identify any discrepancies.

• Apply the appropriate modifiers, NCCI edits, and specific coding rules from payers.

• Maintain compliance with guidelines set forth by CMS, AMA, and various payers.

• Achieve and uphold a coding accuracy rate of ≥95% while meeting established productivity standards.

• Identify any gaps in documentation and escalate for necessary clarification.

• Participate in quality reviews, audits, and continuous coding education initiatives.

• Code independently within the designated specialty or specialties.

• Adapt to differing client workflows, systems, and documentation practices.

• Communicate effectively with internal teams and client stakeholders.

⛳️ Requirements

• Must hold an active and good-standing CPC, CCS-P, RHIA, or RHIT credential.

• A minimum of 2–3+ years of experience in professional fee coding is required.

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

• Strong understanding of CPT, HCPCS, ICD-10-CM, modifiers, and NCCI edits.

• Familiarity with payer policies and coding guidelines is essential.

• Ability to work independently in a remote setting.

• High attention to detail with a proven record of consistent quality performance.

• Capability to code independently within the assigned specialty or specialties.

• Consistent achievement of ≥95% coding quality and alignment with productivity standards.

• Adaptability to varying client workflows, systems, and documentation practices.

• Effective communication skills with internal teams and client stakeholders.

• One or more specialties may be required based on the engagement placement.

• For surgical coders: proficient in operative-report and procedural-documentation review, advanced modifier application, a deep understanding of NCCI and bundling, and the ability to code complex surgical cases independently.

• For Medical/E&M coders: strong knowledge of E&M leveling, documentation requirements, chronic condition capture, medical necessity validation, and thorough reviews of provider documentation completeness.

• For diagnostic/ancillary coders: specialized knowledge of coding structures, professional-service modifiers such as component billing, and adherence to consistent coding conventions in high-volume workflows.

🏝️ Benefits

• Flexible work options including full-time, part-time, and PRN positions.

• Opportunity to work with diverse specialties and navigate complex health system environments.

• A quality-driven culture that promotes realistic expectations.

• Potential to expand into QA, audit, education, and advisory services.