ProFee Medical Coder & Coding QA Specialist

Veradigm®; Raleigh (NC); On-site; USD 65,000 - 90,000; Full time

Job summary

Veradigm is seeking a skilled ProFee medical coder to abstract E/M visits and office-based services with accuracy and regulatory compliance. You will perform daily QA on coded services, provide targeted education, and validate CPT/ICD-10-CM/HCPCS assignments against clinical documentation to uphold AMA CPT, ICD-10, CMS, and payer guidelines.

The role requires CPC certification, 2+ years of ProFee coding experience, and strong attention to detail.

Qualifications

• AAPC credential CPC required.
• 2+ years of ProFee abstract medical coding.
• Proficient knowledge of E/M documentation guidelines.
• Proficient knowledge of Modifier rules and NCCI edits.
• Proficient knowledge of CPT, ICD-10-CM, HCPCS Level II.

Responsibilities

• Abstract coding of all pro-fee E/M visits and office-based services and procedures.
• Daily QA evaluation of coded services to ensure accuracy of completed coding.
• Provide targeted coding education and feedback.
• Validate ICD-10-CM, CPT, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelines.
• Identify coding discrepancies, compliance risks, trends, root causes, and documentation gaps.
• Support coding education through feedback, targeted training, and reference materials.
• Provide actionable recommendations to address coding findings and reduce coding errors.
• Support denial prevention, resolution and appeal strategies.
• Collaborate across teams to assist with coding support.

Skills

CPC

ProFee coding

E/M guidelines

NCCI edits

CPT/ICD-10/HCPCS

EHRs

Job description

Veradigm is seeking a skilled ProFee medical coder to abstract E/M visits and office-based services with accuracy and regulatory compliance. You will perform daily QA on coded services, provide targeted education, and validate CPT/ICD-10-CM/HCPCS assignments against clinical documentation to uphold AMA CPT, ICD-10, CMS, and payer guidelines.

The role requires CPC certification, 2+ years of ProFee coding experience, and strong attention to detail.