About the role
You will join a team that partners with healthcare organizations to strengthen their revenue cycle. As a coder, you'll deliver accurate, compliant coding for clients who count on you to get it right. Many of our client sites have limited on-site coding support, so you'll work independently, communicate clearly with providers, and own the quality of your work.
This is a 100% remote, 12-month W2 contract role with flexible scheduling between 6am and 6pm in your local time zone (40 hours a week). Successful candidate could have the opportunity to extend or convert to full-time employment. You will work alongside a growing team with opportunities for cross-training.
What you'll do
- Assign accurate diagnosis, procedure, and service codes using ICD-10-CM, ICD-10-PCS (where applicable), CPT, and HCPCS Level II.
- Review provider documentation for accuracy and completeness, and apply payer, CMS, and organizational coding guidelines.
- Sequence codes and apply modifiers correctly according to government and payer rules.
- Query providers and clinical staff to clarify unclear or incomplete documentation.
- Identify documentation gaps and trends, and share feedback to help improve provider documentation.
- Resolve coding-related edits, holds, and denials in the client's billing workflow.
- Protect patient confidentiality and follow HIPAA and organizational security standards.
- Stay current on coding guidelines, payer policies, and regulatory changes.
Specialty focus (you'll be aligned to at least one of these)
- Ambulatory (Rural Health Clinic): Code a broad mix of outpatient clinic and procedural services, including E/M leveling, in-office procedures, injections and infusions, and drug (J-code) reporting. Strong modifier and NCCI edit knowledge is key.
- OB/GYN (profee): Code obstetric and gynecologic services, including global obstetric package rules, antepartum, delivery, and postpartum care, gynecologic procedures, ultrasound, preventive visits, and contraceptive services.
- Primary Care (profee): Code family medicine, internal medicine, and pediatric visits, including E/M leveling under current medical decision making and time guidelines, preventive and annual wellness visits, chronic care management, immunizations, and accurate capture of chronic conditions.
- Cardiothoracic (profee): Code cardiac, thoracic, and vascular surgical and procedural services from operative reports, including multi-procedure reporting, surgeon and assistant modifiers, global periods, and bundling rules. ICD-10-PCS experience is a plus.
What you bring
- 3+ years of professional medical coding experience, with demonstrated depth in your specialty area
- Active coding credential (CPC, CCS, or equivalent through AAPC or AHIMA)
- Strong working knowledge of CPT, ICD-10-CM, HCPCS, modifiers, and NCCI edits
- Experience coding in an EHR or encoder environment and comfort learning new systems quickly
- Ability to work independently and manage your own productivity and quality targets
- Strong written and verbal communication skills, including in provider queries
- Sound problem-solving, organization, and time management
- Proven experience coding high volume encounters per day while maintaining high accuracy
Preferred
- Hands-on experience with Meditech and/or Epic
- Experience with coding-related denial resolution and claim edits
- Familiarity with remote, multi-client work
- Experience coding in Rural Health Clinic or Critical Access Hospital environments is highly desired
- Previous experience coding both facility and professional charts is highly desired