Medical Coder

Insight Global; Portland (TN); Remote; USD 70,000 - 95,000; Full time

Job summary

Insight Global is seeking a Professional Fee coder with recent experience supporting Surgical Trauma, Plastic Surgery, and Orthopedic Hand Surgery. Focus on operative report review and accurate CPT/ICD-10-CM coding in a fully remote setting.

The ideal candidate holds active AAPC or AHIMA certification, 3+ years of ProFee coding, and strong knowledge of NCCI edits and payer guidelines. Excellent communication and time management are essential.

Qualifications

• Minimum 3 years ProFee coding experience.
• Active coding certification through AAPC or AHIMA.
• Recent hands-on Professional Fee coding in Surgical Trauma, Plastic Surgery, or Orthopedic Hand Surgery.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, NCCI edits, and payer-specific guidelines.
• Experience reviewing operative reports and coding for professional fee reimbursement.
• Ability to interpret complex surgical documentation and apply correct coding and modifiers.

Responsibilities

• Review operative reports and assign accurate CPT/ICD-10-CM and E/M codes.
• Code professional fees for Surgical Trauma, Plastic Surgery, and Orthopedic Hand Surgery.
• Ensure documentation compliance and proper modifier usage.
• Maintain high productivity and quality in a fully remote environment.
• Communicate effectively with providers and billing teams.

Skills

ProFee coding

Operative report review

CPT coding

ICD-10-CM knowledge

HCPCS knowledge

Modifier application

NCCI edits

Documentation compliance

Communication skills

Remote work capability

Education

AAPC or AHIMA certification

RHIT

RHIA

CPC

COC

CCS-P

CCS

CEDC

Tools

Encoder software

EMR systems

Job description

The ideal candidate will have recent Professional Fee coding experience supporting Surgical Trauma, Plastic Surgery, and/or Orthopedic Hand Surgery providers, with expertise in operative report review, CPT procedure coding, modifier application, documentation compliance, and accurate reimbursement practices. They will be comfortable working independently in a fully remote environment while maintaining high quality and productivity standards.

Minimum of 3 years of Professional Fee (ProFee) coding experience. Active coding certification through AAPC or AHIMA. Current RHIT, RHIA, CPC, COC, CCS-P, CCS, CEDC, or equivalent coding credential. Recent hands-on Professional Fee coding experience within the last 3-5 years supporting one or more of the following specialties: Surgical Trauma Plastic & Reconstructive Surgery Orthopedic Hand Surgery Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, NCCI edits, and payer-specific coding guidelines. Demonstrated experience assigning accurate procedure, diagnosis, and E/M codes based on provider documentation. Experience reviewing operative reports and coding surgical procedures for professional fee reimbursement. Ability to interpret complex surgical documentation and apply appropriate coding and modifier usage. Experience working in a fully remote environment with strong productivity and quality standards. Proficiency with EMR systems and encoder software. Strong communication, organizational, and time-management skills.