Physician Enterprise Coder Remote

Texas Health Huguley FWS; Altamonte Springs (FL); Remote; USD 45,000 - 70,000; Full time

Job summary

An established industry player is seeking a detail-oriented Physician Enterprise Coder to join their remote team. In this role, you will review and assign appropriate coding for medical procedures, ensuring compliance with current guidelines. You will play a vital role in maintaining accurate medical records and supporting physicians with coding-related inquiries. This position offers an opportunity to contribute to a community-focused organization that values professional growth and well-being. If you are passionate about healthcare coding and eager to make a difference, this role is perfect for you.

Benefits

Benefits from Day One

Career Development

Whole Person Wellbeing Resources

Mental Health Resources and Support

Qualifications

• 2+ years of physician-based coding experience for E&M and surgical procedures.
• Strong knowledge of CPT, ICD-10, HCPCS, and modifiers.

Responsibilities

• Review physician documentation and assign appropriate coding.
• Maintain an accuracy rate of 90% or above in Quality Assurance reviews.

Skills

CPT Coding

ICD-10 Coding

HCPCS Coding

Microsoft Office

Communication Skills

Education

High School Diploma

Technical Certification in Medical Coding

Associate Degree in Medical Billing/Coding

Job description

Job Description - Physician Enterprise Coder Remote (25017130)

Job Number: 25017130

Benefits and Perks:

• Benefits from Day One
• Career Development
• Whole Person Wellbeing Resources
• Mental Health Resources and Support

Our Promise:

Joining AdventHealth means being part of a community that believes in the wholeness of each person and serves to uplift others in body, mind, and spirit. We foster professional growth and spiritual development, extending the Healing Ministry of Christ. We value each individual's unique experiences and believe that together we are stronger.

Job Location:

Monday-Friday, 8:00am to 5:00pm, Remote

The Role:

As an AH coder, you will review physicians' documentation and assign appropriate CPT, ICD-10, HCPCS codes, and modifiers for services rendered in both office and hospital settings. You will also review previously coded items, making corrections based on current coding guidelines for charges, edits, reviews, and denials requiring recoding.

The Value You Bring:

• Editing and reviewing captured charges and medical documentation to determine correct codes and modifiers for outpatient and inpatient services.
• Reviewing outpatient and inpatient procedure reports, abstracting procedures, and entering charges into EMR.
• Communicating documentation discrepancies with support staff and supervisors.
• Creating patient charts and entering demographics and insurance information into EMR.
• Verifying data entry accuracy for patient demographics, insurance, and charges.
• Attaching insurance and authorizations to patient encounters in EMR.
• Serving as a coding resource and assisting with coding questions.
• Supporting the coding supervisor with escalated questions.
• Maintaining an accuracy rate of 90% or above in Quality Assurance reviews.
• Completing work timely while meeting departmental standards.
• Maintaining open communication with the coding team and supervisor.

Qualifications:

Knowledge and Skills Required:

• Strong knowledge of CPT, ICD-10, HCPCS, and modifiers for surgical procedures.
• Understanding of NCCI, MU, MUE edits, and bundling guidelines.
• Proficiency with Microsoft Office.
• Excellent written and verbal communication skills.
• Ability to operate a PC and participate in web/tele-conferences.

Knowledge and Skills Preferred:

• Current knowledge of E&M and surgical coding.
• Ability to explain documentation needs to physicians and staff via EMR.

Education and Experience:

Required:

• High school diploma or equivalent.
• At least 2 years of physician-based coding experience for E&M and surgical procedures.

Preferred:

• Technical certification in medical coding or an Associate Degree in Medical Billing/Coding.

Licensure, Certification, or Registration:

At least one of the following:

• Certified Professional Coder (CPC) or Certified Professional Coder Apprentice (CPC-A) if less than 2 years of experience.
• Registered Health Information Technician (RHIT).
• Certified Billing and Coding Specialist (CBCS).

If a candidate previously held a certification that has lapsed, they have 60 days to reinstate it upon accepting the position; otherwise, the employment may be terminated.