Coder I, Orthopedic, Remote

University of Louisville Physicians; Kentucky; Hybrid; USD 42,000 - 66,000; Full time

Job summary

UofL Health is seeking a Coder I to support medical coding in a remote home-based role in Kentucky. The position focuses on accurate abstraction and coding to ensure proper reimbursement across federal, state, and private payers.

The ideal candidate has 1–4 years of physician coding experience, CPC and/or AHIMA credentials, and proficiency with CPT, ICD-10, and HCPCS guidelines, while maintaining HIPAA compliance and team collaboration.

Qualifications

• Experience in physician coding (1–4 years preferred).
• CPC and CCS/CCS-P/CCA certifications required.
• Familiarity with CPT, ICD-10, HCPCS coding.

Responsibilities

• Abstract and assign CPT, ICD-10, and HCPCS codes to medical records.
• Review and resolve coding denials.
• Submit charges within assigned work queues accurately.
• Ensure documentation meets CMS and ULH policies.

Skills

Physician coding

HIPAA compliance

Team collaboration

Education

High school diploma or GED/equivalent

CPC certification (AAPC)

CCS/CCS-P/CCA certification (AHIMA)

Tools

CPT/ICD-10 coding systems

Job description

Primary Location: Work From Home - KY - ULP - CMG Address: Home Office Remote, KY 40601 Shift: First Shift (United States of America)

Job Description Summary: UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center. With more than 12,000 team members-physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals- UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.

Job Description: The Coder I is responsible for abstraction and assigning valid CPT, ICD-10, HCPCs codes and modifiers to ensure appropriate reimbursement in accordance with federal state, and private health plans as well as organization and regulatory guidance. This role is typically responsible for less complex coding with oversight.

Essential Functions

• Accurately abstracts information from the service documentation, assigns and sequences appropriate CPT, ICD-10, and HCPCs codes into the appropriate billing systems, ensuring compliance with established guidelines
• Reviews and resolves coding denials
• Completes charges sessions in the assigned work queues in a timely manner
• Completes documentation meeting the current EM Guidelines for providers
• Ensures documentation meets the Teaching Physician Rules as mandated by CMS and ULH Policies prior to release of a code for billing
• Ensures documentation for Advanced Practice Providers meets the payer-specific rules prior to release of a code for billing
• Provides comments/suggestion relative to weak areas identified in the coding reviews
• Provides trending deficiencies to Senior Manager and Compliance Educator, as appropriate

Other Functions

• Meets or exceeds organizational coding production and quality standards
• Participates in special projects and completes other duties as assigned
• Maintains daily/weekly communication with office managers, department, and providers.
• Ability to work within a team environment and meet monthly goals
• Maintain compliance with rules and regulations regarding coding
• Responds in a timely manner to questions from manager, providers, department, and representatives
• Maintains compliance with all company policies, procedures and standards of conduct
• Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
• Performs other duties as assigned

Education

• High school diploma or GED/equivalent (required)

Experience

• One to four (1-4) years physician coding experience (preferred)

Certification

• Certified Professional Coder (CPC) accredited by the American Academy of Professional Coders (AAPC) (required)
• Certified Coding Specialist (CCS), Certified Coding Specialist Physician Based (CCS-P) or Certified Coding Assistant (CCA) accredited by the American Health Information Management Association (AHIMA) (required)

UofL Health is a fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations and more than 1,000 providers in Louisville and the surrounding counties, including southern Indiana. Additional access to UofL Health is provided through a partnership with Carroll County Memorial Hospital. With more than 14,000 team members - physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care.