ProFee Coder - Internal Medicine

Gebbs Healthcare Solutions Inc; United States; Remote; USD 60,000 - 85,000; Full time

Job summary

Gebbs Healthcare Solutions Inc seeks a Professional Coder to accurately assign ICD-10-CM, CPT, HCPCS Level II codes and modifiers for outpatient professional services. You will review documentation to support accurate coding, ensure compliance with guidelines, and help maximize appropriate reimbursement.

The role requires 2–4 years of professional coding experience, active AHIMA or AAPC certification, and EPIC experience. The schedule is 40 hours, Monday–Friday, with a Pacific time window.

Qualifications

• Advanced knowledge of ICD-10-CM, CPT, HCPCS Level II and modifiers.
• Familiar with CPT Assistant and Coding Clinic guidance.
• Apply Official Coding Guidelines and payer policies.
• Strong medical terminology and anatomy knowledge.
• Interpret clinical documentation to assign diagnoses and services.
• Research coding questions using CMS guidelines and payer policies.

Responsibilities

• Review clinical documentation to capture diagnoses and procedures for outpatient/professional services.
• Assign ICD-10-CM, CPT, HCPCS Level II codes and modifiers accurately.
• Ensure coding aligns with payer policies to support reimbursement and minimize denials.
• Maintain compliance with coding guidelines and documentation standards.

Skills

ICD-10-CM

CPT

HCPCS Level II

Modifier assignment

payer policies

MDM understanding

Investigative research

Education

CPC

CCS

RHIT

Tools

EPIC

Job description

The Professional Coder is responsible for accurately assigning ICD-10-CM, CPT, HCPCS Level II, and applicable modifiers for physician and other qualified healthcare professional services. This role ensures coding accuracy, documentation integrity, and compliance with official coding guidelines, regulatory requirements, and payer-specific policies. The coder reviews clinical documentation to capture diagnoses, procedures, and services performed in outpatient and professional settings, supporting appropriate reimbursement, minimizing claim denials, and ensuring high-quality, compliant coding that contributes to overall revenue integrity and data accuracy.

QUALIFICATIONS

• Advanced knowledge of ICD-10-CM, CPT, HCPCS Level II, and modifier assignment for physician and other qualified healthcare professional services.

• Strong understanding of professional coding guidelines, including CPT Assistant, Coding Clinic guidance, and AMA/CMS documentation standards.

• Proficiency in applying Official Coding Guidelines and payer-specific policies for outpatient and professional services.

• Knowledge of medical terminology, anatomy, physiology, pharmacology, and disease processes to support accurate code assignment.

• Ability to accurately interpret clinical documentation to assign diagnoses, procedures, and services at the professional level.

• Experience applying NCCI edits and payer-specific claim editing rules to ensure compliant coding and reduce denials.

• Understanding of medical decision-making (MDM) concepts and documentation requirements supporting professional E/M services (if applicable to role scope).

• Ability to identify coding discrepancies, documentation gaps, and claim issues impacting reimbursement and compliance.

• Ability to research coding questions using authoritative resources such as CMS guidelines, CPT Assistant, Coding Clinic, and payer policies.

REQUIREMENTS

• Minimum of 2–4 years of professional (physician-based) coding experience in a multi-specialty, hospital-based physician group, or outpatient environment.

• Active certification from AHIMA or AAPC such as: CPC, CCS, RHIT.

• EPIC experience required.

• Schedule is 40 hours worked Monday - Friday between 6a - 6p Pacific time. The schedule is flexible between those hours.

• Must pass a client coding assessment with a score of 80% or higher

• Ability to maintain required CPH (charts per hour) and accuracy standards

• US based candidates only