Pro Fee Clinic Coder

Palo Pinto General Hospital; Mineral Wells (TX); On-site; USD 48,000 - 70,000; Full time

Job summary

Palo Pinto General Hospital in Mineral Wells, TX is seeking a Pro Fee Clinic Coder to translate clinical documentation into CPT, HCPCS and ICD-10 codes for professional fee services. You will collaborate with physicians and billing teams to ensure coding accuracy and compliant reimbursement.

The role requires CPC certification, at least two years of professional coding experience, and proficiency with EHRs and coding software.

Qualifications

• Certified Professional Coder (CPC) with AAPC or equivalent.
• At least 2 years of professional fee medical coding experience.
• Strong CPT, HCPCS and ICD-10 knowledge.
• Familiar with medical terminology, anatomy and clinical documentation.
• Proficient in using electronic health records and coding software.

Responsibilities

• Review clinical documentation to assign accurate CPT, HCPCS, and ICD-10 codes for professional services.
• Ensure coding compliance with regulations and payer policies to minimize denials.
• Collaborate with physicians, nurses, and billing staff to clarify documentation and resolve discrepancies.
• Maintain up-to-date knowledge of coding guidelines and payer requirements through ongoing education.
• Audit coded data to identify trends and opportunities for process improvement.

Skills

CPT coding

HCPCS coding

ICD-10 coding

EHR proficiency

Medical terminology

Analytical skills

Education

CPC certification (AAPC)

Job description

Pro Fee Clinic Coder

HIM Full Time Office Clerical Palo Pinto General Hospital, Mineral Wells, TX, US

Palo Pinto General Hospital has been caring for our surrounding communities for more than 50 years. Our past is important but we are also looking to the future and you can find it right here at PPGH! With advanced technology, expanding clinics and telehealth services that bring specialists to our patients, we're growing to meet the needs of tomorrow-while keeping care local today.

About the Role

The Pro Fee Clinic Coder plays a critical role in ensuring accurate and efficient medical coding for professional fee services within our healthcare facility in Mineral Wells, TX. This position is responsible for translating clinical documentation into standardized codes used for billing and reimbursement, directly impacting the financial health of the organization. The ideal candidate will collaborate closely with healthcare providers and billing teams to ensure compliance with coding guidelines and regulatory requirements. This role demands meticulous attention to detail, strong analytical skills, and a commitment to continuous learning in the evolving healthcare environment.

Minimum Qualifications

• Certified Professional Coder (CPC) credential from AAPC or equivalent certification.
• Minimum of 2 years of experience in professional fee medical coding within a healthcare setting.
• Strong knowledge of CPT, HCPCS, and ICD-10 coding systems and guidelines.
• Familiarity with medical terminology, anatomy, and clinical documentation.
• Proficiency in using electronic health records (EHR) and coding software.

Preferred Qualifications

• Experience working in a hospital or outpatient clinic environment.
• Knowledge of payer-specific billing requirements and reimbursement methodologies.
• Experience with revenue cycle management and denial management processes.
• Strong analytical and problem-solving skills with attention to detail.

Responsibilities

• Review and analyze clinical documentation to assign accurate CPT, HCPCS, and ICD-10 codes for professional fee services.
• Ensure coding compliance with federal regulations, payer policies, and industry standards to minimize claim denials and audits.
• Collaborate with physicians, nurses, and billing staff to clarify documentation and resolve coding discrepancies.
• Maintain up-to-date knowledge of coding guidelines, payer requirements, and healthcare regulations through ongoing education.
• Assist in auditing coded data to identify trends, errors, and opportunities for process improvement.

Skills

The required skills enable the Pro Fee Clinic Coder to accurately interpret clinical documentation and apply the correct codes, which is essential for proper billing and reimbursement. Proficiency with coding systems such as CPT, HCPCS, and ICD-10 ensures compliance with healthcare regulations and reduces claim denials. Familiarity with electronic health records and coding software facilitates efficient data entry and retrieval, streamlining daily workflows. Strong communication and analytical skills are used daily to collaborate with clinical and billing teams, resolve discrepancies, and continuously improve coding accuracy.