Job Title: Remote Medical Coder (Multi-Specialty Professional Services)

Position Overview: We are seeking a highly detailed and analytical Medical Coder to join our growing health system team. In this position, you will be responsible for reviewing medical record documentation to ensure the accurate and compliant assignment of CPT, HCPCS, and ICD-10 codes for professional services. You will act as a vital link between our clinical documentation and billing processes, managing specialty-specific work queues and collaborating with healthcare providers to optimize coding accuracy and compliance.

This is a 100% remote position offering an exceptionally flexible schedule to promote a healthy work-life balance.

Key Responsibilities:

• Code Assignment: Read and interpret complex medical record documentation for surgical procedures, office encounters, and diagnostic or pathological services. Assign accurate CPT, HCPCS, ICD-10 codes, modifiers, and units for clean claim submission.

• Work Queue Management: Manage specialty-specific work queues, which may include Trauma, Orthopedics, GI/Bariatrics, Transplant, Cardiology, ENT, Radiation Oncology, or General Surgery.

• Pre-Claim Auditing: Conduct astute, detailed reviews of Charge Review work queues to catch missing codes, determine the correct placement of modifiers, and resolve coding-related deficiencies prior to billing.

• Claim Edit Resolution: Take ownership of specialty-specific claim edit work queues to correct errors and ensure timely submission to payers.

• Provider Education: Research coding inquiries from medical staff and provide clear, professional written or oral communication to educate providers on correct coding and documentation guidelines.

• Performance Standards: Maintain a strict department standard of 90% or higher coding accuracy while consistently meeting production volume expectations.

• Team Collaboration: Participate actively in monthly department meetings, educational programs, and collaborative team initiatives.

Required Skills and Qualifications:

• Certification: An active core coding credential from AAPC or AHIMA (CPC, CPC-A, CCS-P, or CCA) is strictly required.

• Experience: Minimum of 2 years of recent professional coding experience in an outpatient (primary care and surgical) setting. Alternatively, 1 year of professional coding experience combined with 2 years of HCC experience will be considered.

• Clinical Coding Focus: Demonstrated experience with professional-side Hospital Inpatient and Outpatient E/M coding, as well as hands-on procedural/surgical coding.

• Regulatory Knowledge: Deep understanding of CMS manuals, federal and regulatory guidelines, and official correct coding policies.

• Technical Skills: Proficiency with Microsoft Office suite. Experience utilizing Electronic Medical Record (EMR) software is required.

• Core Competencies: Exceptional time management skills with the ability to work independently in a remote environment. Strong verbal and written communication skills for professional peer interaction.

• Education: High school diploma or equivalent required; an Associate degree is highly preferred.

Preferred Skills:

• Prior hands-on experience utilizing Epic EMR software.

Schedule & Shift Details:

• Hours: Full-time, 40 hours per week.

• Flexibility: Highly flexible M-F schedule. You have the freedom to choose your 8-hour daily block anytime between the hours of 5:00 AM and 9:00 PM.

Work Location Constraints:

• This position is 100% fully remote.

• Please Note: We are unable to hire candidates residing in the following states: California, Connecticut, Illinois, Maine, Massachusetts, New Jersey, New York, and Washington.

  Job Title: Remote Medical Coder (Multi-Specialty Professional Services)

  Position Overview: We are seeking a highly detailed and analytical Medical Coder to join our growing health system team. In this position, you will be responsible for reviewing medical record documentation to ensure the accurate and compliant assignment of CPT, HCPCS, and ICD-10 codes for professional services. You will act as a vital link between our clinical documentation and billing processes, managing specialty-specific work queues and collaborating with healthcare providers to optimize coding accuracy and compliance.

  This is a 100% remote position offering an exceptionally flexible schedule to promote a healthy work-life balance.

  Key Responsibilities:

• Code Assignment: Read and interpret complex medical record documentation for surgical procedures, office encounters, and diagnostic or pathological services. Assign accurate CPT, HCPCS, ICD-10 codes, modifiers, and units for clean claim submission.

• Work Queue Management: Manage specialty-specific work queues, which may include Trauma, Orthopedics, GI/Bariatrics, Transplant, Cardiology, ENT, Radiation Oncology, or General Surgery.

• Pre-Claim Auditing: Conduct astute, detailed reviews of Charge Review work queues to catch missing codes, determine the correct placement of modifiers, and resolve coding-related deficiencies prior to billing.

• Claim Edit Resolution: Take ownership of specialty-specific claim edit work queues to correct errors and ensure timely submission to payers.

• Provider Education: Research coding inquiries from medical staff and provide clear, professional written or oral communication to educate providers on correct coding and documentation guidelines.

• Performance Standards: Maintain a strict department standard of 90% or higher coding accuracy while consistently meeting production volume expectations.

• Team Collaboration: Participate actively in monthly department meetings, educational programs, and collaborative team initiatives.

• Certification: An active core coding credential from AAPC or AHIMA (CPC, CPC-A, CCS-P, or CCA) is strictly required.

• Experience: Minimum of 2 years of recent professional coding experience in an outpatient (primary care and surgical) setting. Alternatively, 1 year of professional coding experience combined with 2 years of HCC experience will be considered.

• Clinical Coding Focus: Demonstrated experience with professional-side Hospital Inpatient and Outpatient E/M coding, as well as hands-on procedural/surgical coding.

• Regulatory Knowledge: Deep understanding of CMS manuals, federal and regulatory guidelines, and official correct coding policies.

• Technical Skills: Proficiency with Microsoft Office suite. Experience utilizing Electronic Medical Record (EMR) software is required.

• Core Competencies: Exceptional time management skills with the ability to work independently in a remote environment. Strong verbal and written communication skills for professional peer interaction.

• Education: High school diploma or equivalent required; an Associate degree is highly preferred.

• Preferred Skills:

• Prior hands-on experience utilizing Epic EMR software.

• Schedule & Shift Details:

• Hours: Full-time, 40 hours per week.

• Flexibility: Highly flexible M-F schedule. You have the freedom to choose your 8-hour daily block anytime between the hours of 5:00 AM and 9:00 PM.

• Work Location Constraints:

• This position is 100% fully remote.

• Please Note: We are unable to hire candidates residing in the following states: California, Connecticut, Illinois, Maine, Massachusetts, New Jersey, New York, and Washington.

• Required Skills and Qualifications:

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.