ED Professional Fee Coder (On-Site, Hybrid, Remote)

NorthBay Health; Fairfield (CA); On-site; USD 58,189 - 70,725; Full time

Benefits offered by this job

Comprehensive benefits package

403(b) retirement plan with employer match

Paid time off including vacation and sick leave

Job summary

NorthBay Health is seeking an ED Professional Coder II to translate medical procedures into appropriate codes accurately and promptly. This role requires a deep understanding of medical coding guidelines and effective communication with healthcare providers.

Ideal candidates should have significant coding experience and relevant certifications. The position works hybrid remote, allowing flexibility for qualified individuals located within the continental U.S.

Qualifications

• Five or more years of continuous coding experience in a professional fee setting within the last eight years.
• 1–2 years ED coding experience.

Responsibilities

• Accurately translate medical procedures and diagnoses into ICD 10, CPT and HCPCS codes.
• Communicate with providers to educate or discuss coding requirements.

Skills

Extensive experience assigning physician E&M levels

Experience with an encoder & CAC system

Knowledge of medical terminology and anatomy

Microsoft Office proficiency

Understanding of insurance compliance guidelines

Ability to work independently

Education

High School diploma or equivalent

Certified Professional Coder (CPC) or Certified Coding Specialist – CCS-P

Tools

Cerner

Job description

Overview

At NorthBay Health, the ED Professional Coder II will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner. This person is a dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. They also effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital’s abstracting system. Work focuses on ED using the approved classification coding systems to include the modifiers. All work must be carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA, American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Health coding guidelines.

Qualifications

Education

High School diploma or equivalent preferred.

Licensure / Certification

Certified Professional Coder (CPC) or Certified Coding Specialist – CCS-P. CEDC certification strongly preferred.

Experience

• Five or more years of continuous coding experience in a professional fee setting within the last eight years.
• 1–2 years ED coding experience.

Skills

• Extensive experience assigning physician E&M levels. Experience with an encoder & CAC system preferred.
• Demonstrated knowledge of anatomy and physiology, medical terminology, and the conventions, rules and guidelines for current coding classification (ICD10-CM, CPT and HCPCS).
• Demonstrated understanding of the clinical content of a health record.
• Knowledge of and experience with PC’s, Cerner, and/or computer systems and programs highly desired.
• Microsoft Office: Email, Word, Excel.
• Comprehensive understanding of insurance requirements and compliance guidelines for Medicare, PHP, WHA and Medi‑Cal, Worker’s Compensation, Commercial Insurances.
• Ability and self‑discipline to work remotely.
• Ability to withstand the pressure of continual deadlines and variable requirements.
• Ability to work independently as well as in a team environment.
• Technically savvy (ability to learn software and troubleshoot equipment as needed).

Interpersonal Skills

Demonstrates the True North values: Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence.

Hours of Work

• Days: Monday through Friday as assigned based on business need.
• Job is classified as hybrid remote.

Other Requirements

• Must have a private, distraction‑free area in your home for work (HIPAA reasons).
• Web‑cam training will be used frequently for team engagement.
• Internet Requirements: Must have high speed internet. Please test your internet prior to applying to make sure you are over 125 Mbps download speed or be willing to upgrade upon an offer.

Remote Work Eligibility

This position is open to candidates located within the continental United States. The following locations are excluded: Washington, Ohio, Wyoming, North Dakota, Puerto Rico, and the U.S. Virgin Islands.

Compensation

Hourly Salary Range: Min $42.24 – Max $51.34 (offered hourly rate based on years of experience).

Benefits

NorthBay Health offers a comprehensive benefits package based on established eligibility requirements. Benefits may include medical, dental, and vision insurance, life, disability, and long‑term care coverage, paid time off including vacation, sick leave, holidays, and bereavement, a 403(b) retirement plan with employer match, education reimbursement for eligible roles, professional development and training programs, Employee Assistance Program, wellness programs, recognition programs, shift differentials, and market‑based compensation review and increases subject to approval and organizational performance.