Fully Remote, Outpatient Professional Fee Coder: Family Practice, AssistedLiving, Nursing Home Visits

Southern Illinois Healthcare; Illinois; Remote; USD 55,000 - 75,000; Full time

Job summary

Southern Illinois Healthcare seeks a Medical Coder to review provider documentation and assign accurate ICD-10-CM and CPT/HCPCS codes following official guidelines. The role focuses on provider-based E/M visits and outpatient hospital coding to ensure compliant, timely claims.

Follows policies and SOPs, uses encoding software and references, resolves coding edits, and communicates issues to the Coding Lead.

Qualifications

• High School Diploma required; Associate or Bachelor in Health Information preferred.
• Follows coding policies, procedures, and SOPs.
• Maintains coding quality and productivity standards.

Responsibilities

• Review provider documentation and revise/assign ICD-10-CM and CPT/HCPCS codes.
• Research and take action on coding/claim edits.
• Review coding edits and resolve so encounter can be sent to claims.
• Identify and communicate issues related to documentation, coding, or systems to Coding Lead/Supervisor/Manager.
• Perform work queue duties as assigned by Coding Lead/Supervisor/Manager.
• Engage in performance improvement initiatives and department meetings.

Skills

ICD-10-CM coding

CPT/HCPCS coding

Provider-based coding

Coding guidelines

Documentation review

Education

High School Diploma

Associate or Bachelor Degree in Health Information

Tools

Encoding software

Job description

Reviews provider documentation and revises and/or assigns ICD-10-CM codes and CPT/HCPCS codes as appropriate, based on official coding guidelines.

Researches and takes appropriate action on any coding/claim edits.

Coding focus is provider based E&M level visits or outpatient hospital based

Standards of Performance: Stewardship, Accountability, Quality

High School Diploma required. Preferred Associate or Bachelor Degree in Health Information or a healthcare related discipline.

Follows all coding policies, procedures, standard operating procedures

Effectively uses encoding software and reference materials to assign appropriate

Provider driven coding: upon documentation and coding guidelines.

Non – provider driven coding: appropriate codes based upon coding guidelines

Reviews coding edits and accurately resolves so encounter can be sent to claims. additional information is needed before finalizing coding.

Identifies and communicates to Coding Lead/Supervisor/Manager any issues related to documentation, coding or systems that may impact quality, compliance,

Performs work que duties as assigned by Coding Lead/Supervisor/Manager.

Maintains coding quality and productivity standards performance improvement initiatives, department meetings and other meetings as