Profee Coder

Our Clients; Metro Manila; Remote; PHP 350,000 - 700,000; Full time

Benefits offered by this job

Work-from-home opportunity

Exposure to global healthcare RCM

Job summary

Our Clients is seeking experienced Professional Fee Medical Coders to review clinical documentation and accurately assign CPT, ICD-10-CM, and HCPCS codes for physician services and procedures. Expertise in OB-GYN, Urology, General Surgery, Orthopedics, Bariatric Surgery, Cardiology, Gastroenterology, and Nephrology is valued.

Candidates should have 2+ years of Profee coding, strong terminology knowledge, and be willing to work US shifts. Remote work is offered with full-time employment.

Qualifications

• Graduate of a Medical Allied course.
• Active medical coding certification: CPC, CCS-P, COC, or CCS.
• At least 2 years of Profee Medical Coding experience.
• Experience in OB-GYN, Urology, General Surgery, Orthopedics, Bariatric Surgery, Cardiology, Gastroenterology, or Nephrology.
• Strong understanding of CPT, ICD-10-CM, and HCPCS coding.
• Willing to work US shift.

Responsibilities

• Review physician documentation to determine codes for professional services.
• Assign CPT, ICD-10-CM, and HCPCS codes per guidelines.
• Apply specialty-specific coding knowledge to diagnoses and procedures.
• Review documentation for completeness, accuracy, and compliance.
• Identify discrepancies and elevate for clarification as needed.
• Maintain productivity, quality, and turnaround time targets.
• Participate in coding audits and quality reviews.
• Use EHR platforms to support accurate coding.
• Protect patient information per HIPAA and policy.

Skills

Attention to detail

Analytical skills

Multispecialty coding

HIPAA compliance

Education

Medical Allied course

CPC

CCS-P

COC

CCS

Tools

Epic

EHR systems

Professional fee coding systems

Job description

We are looking for experienced Professional Fee (Profee) Medical Coders to review clinical documentation and accurately assign CPT, ICD-10-CM, and HCPCS codes for physician services and procedures. Successful candidates will have strong coding expertise in one or more specialties, ensuring coding accuracy, compliance with industry standards, and appropriate reimbursement.

We are particularly interested in candidates with experience in OB-GYN, Urology, General Surgery, Orthopedics, Bariatric Surgery, Cardiology, Gastroenterology, and Nephrology.

Key Responsibilities

• Review physician documentation, medical records, operative reports, and clinical notes to determine appropriate codes for professional services.
• Assign accurate CPT, ICD-10-CM, and HCPCS codes in accordance with official coding guidelines and payer requirements.
• Apply specialty-specific coding knowledge to diagnoses, procedures, and professional services.
• Review documentation for completeness, accuracy, and coding compliance.
• Identify discrepancies or insufficient documentation and elevate issues for clarification when necessary.
• Maintain established productivity, quality, and turnaround time targets.
• Participate in coding audits, quality reviews, and continuous improvement initiatives.
• Use electronic health record (EHR) platforms and professional fee coding systems to support accurate coding.
• Protect confidential patient information in accordance with HIPAA and company policies.

Qualifications and Requirements

• Graduate of a Medical Allied course.
• Must hold an active medical coding certification: CPC, CCS-P, COC, or CCS.
• At least 2 years of Professional Fee (Profee) Medical Coding experience.
• Experience in one or more of the following specialties:
  • OB-GYN and Urology: Experience coding professional services and procedures in obstetrics, gynecology, and/or urology.
  • General Surgery, Orthopedics, and Bariatric Surgery: Experience coding surgical procedures, including orthopedic and bariatric cases.
  • Cardiology: Comprehensive experience across cardiology coding services, including invasive and noninvasive procedures.
  • Gastroenterology and Nephrology: Experience coding diagnoses, procedures, and physician services within these specialties.
• Strong understanding of medical terminology, anatomy, physiology, and disease processes relevant to the assigned specialty.
• For Cardiology Coders, a strong understanding of cardiovascular anatomy, physiology, disease processes, medical terminology, and cardiac devices.
• Experience coding invasive and noninvasive cardiology services, including electrophysiology, cardiac devices, cardiothoracic procedures, and vascular procedures.
• Experience using different electronic health record (EHR) platforms and coding systems, including Epic or other professional fee coding systems.
• Experience supporting multispecialty Professional Fee coding environments.
• Strong analytical skills, attention to detail, and the ability to meet coding accuracy and productivity standards.
• Willingness to work on a US shift.

Preferred Qualifications

• Experience in a healthcare BPO or Revenue Cycle Management (RCM) environment.
• Knowledge of payer-specific coding requirements, compliance standards, and professional fee reimbursement processes.
• Experience handling complex medical records and specialty-specific coding cases.

What We Offer

• Work-from-home opportunity.
• Full-time employment.
• Exposure to a global healthcare Revenue Cycle Management environment.
• Opportunities for professional development and career growth.