Pro-Fee Coder – Remote, E/M & ICD-10 Specialist

Insight Global; Brentwood (TN); Remote; USD 65,000 - 90,000; Full time

Job summary

Insight Global seeks an experienced Professional Fee Coder to code hospital-based professional services in a fully remote setup. You will apply ICD-10-CM, CPT, and HCPCS guidelines, assign E/M levels, and ensure accurate documentation to support reimbursements.

Ideal candidates have 3+ years of Pro-Fee coding, active AAPC/AHIMA credentials, and Cerner EMR experience. Strong communication and multitasking abilities are essential for success in a remote, multi-department environment.

Qualifications

• 3+ years of Professional Fee (Pro-Fee) Coding experience.
• Active coding certification through AAPC or AHIMA.
• Active RHIT, RHIA, CPC, COC, CCS-P, CCS, CEDC, or equivalent coding credential.
• Experience coding clinic visits/professional services.
• Strong experience with Evaluation & Management (E/M) coding, diagnosis coding, injections, and procedure coding.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and coding compliance guidelines.
• Experience with Cerner EMR.
• Experience working remotely.
• Proficiency in Microsoft Outlook, Excel, and Teams.
• Strong communication, organization, and multitasking skills.
• Emergency Department (ED) coding experience.
• Multi-specialty Pro-Fee coding background.
• Experience with regulatory reporting and data abstraction.
• Prior hospital or health system coding experience.
• Experience partnering with AR/billing teams on claim resolution.
• History of exceeding coding productivity and quality metrics.
• Experience mentoring, training, or educating other coders.
• Additional AAPC or AHIMA certifications beyond minimum requirements.

Responsibilities

• Review and code professional fee encounters using ICD-10-CM, CPT, and HCPCS guidelines.
• Assign accurate E/M levels, diagnoses, and procedure codes to ensure compliant reimbursement.
• Abstract key patient and encounter data for billing, regulatory, and reporting purposes.
• Audit medical records to ensure documentation supports services billed and identify documentation gaps.
• Communicate with physicians and providers to obtain coding and documentation clarifications.
• Review and resolve coding-related claim edits, including medical necessity and NCCI/CCI edits.
• Collaborate with billing and Accounts Receivable teams to resolve coding and reimbursement issues.
• Maintain quality and productivity standards while meeting a 95% coding accuracy requirement.
• Work within EMR, hospital information systems, and encoder software in a fully remote environment.
• Stay current on coding regulations, payer requirements, and continuing education requirements.

Skills

Professional Fee Coding

AAPC/AHIMA Certification

RHIT/RHIA/CPC Certification

Clinic/Professional Coding

E/M Coding Expertise

ICD-10-CM CPT HCPCS

Remote Work Experience

Outlook/Excel/Teams

ED Coding Experience

Multi-Specialty Coding

Regulatory Reporting

Hospital Health System Background

Mentoring/Training

Additional Certifications

Tools

Cerner EMR

Job description

Insight Global seeks an experienced Professional Fee Coder to code hospital-based professional services in a fully remote setup. You will apply ICD-10-CM, CPT, and HCPCS guidelines, assign E/M levels, and ensure accurate documentation to support reimbursements.

Ideal candidates have 3+ years of Pro-Fee coding, active AAPC/AHIMA credentials, and Cerner EMR experience. Strong communication and multitasking abilities are essential for success in a remote, multi-department environment.