Professional Coding and Documentation Improvement Specialist - FT - Day-Physician Professional Code

Capital Health (US); New York (NY); Remote; USD 75,000 - 110,000; Full time

Benefits offered by this job

Prescription drug coverage

Dental Plan

FSA

Retirement Savings Plan

Disability Benefits – LTD/STD

Job summary

Capital Health is seeking a professional coder with CPC/CCS-P certification to ensure accurate physician coding and documentation across the organization. The role focuses on monitoring E/M coding, improving documentation quality, and educating providers to meet industry guidelines.

Two years of coding experience and proficiency with ICD-10-CM/CPT are preferred. This remote-friendly position involves collaboration with revenue cycle teams and ongoing documentation improvement initiatives.

Qualifications

• Professional medical coding knowledge with ICD-10-CM and CPT experience.
• Experience monitoring and educating providers on documentation improvements.
• Strong knowledge of industry guidelines for physician coding and reimbursement.

Responsibilities

• Facilitates compliant physician coding and documentation.
• Monitors provider E/M codes to ensure documentation supports medical necessity and compliance.
• Develops and delivers education materials to promote clear, accurate documentation.
• Partners with revenue cycle teams to resolve complex coding-related issues.

Skills

Medical coding

CPC

CCS-P

ICD-10-CM

Research & analysis

Documentation education

Education

Associate's degree in Health Information Management

CPC or CCS-P certification

Tools

Microsoft Office

Job description

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a

full-time equivalent (1.0 FTE) position. part-time).

Please note - while remote, we are only considering candidates in New Jersey, Pennsylvania, and Alabama*

Facilitates compliant physician coding and documentation for accurate assignment of diagnosis, Evaluation and Management (E&M) and Current Procedural Terminology (CPT) codes. Performs ongoing monitoring of medical record documentation content to ensure all industry guidelines, laws and regulations are met. Identifies and reports recurring coding and documentation improvement areas to leadership to review and respond. Reviews and responds to requests for coding and documentation education. Supports proactive documentation improvement initiatives within Capital Health Medical Group (CHMG).

Education: High School Diploma or equivalent. Associate's degree in health information management preferred. Certified Professional Coder (CPC) or Certified Coding Specialist-Physician-based (CCS-P) required. Physician coding and Training certification.

Experience: Two years’ experience in professional coding role, monitoring and education experience preferred. ICD-10-CM, CPT, CM, and HCPCS coding experience.

Strong knowledge of industry guidelines and laws for physician coding and reimbursement. Possesses research and analysis skills

Special Training: Proficient with Microsoft applications to include Outlook, Word, Excel, PowerPoint. Medical Terminology, Anatomy and Physiology, or Pathophysiology knowledge. Ability to develop, implement and deliver, and assess coding education plans using a variety of methods to individual providers or provider groups.

Ability to learn and develop documentation and education skills to perform physician education. Reviews medical record documentation for accurate assignment and support of diagnosis, CPT, and E&M codes.

Monitors provider selected E&M codes on a routine and focused basis to ensure documentation supports medical necessity, code specificity, and compliance to promote the highest coding accuracy

Develops and delivers education material to promote clear, accurate and complete documentation and compliance with professional coding standards.

Communicates documentation opportunities and monitoring results in a clear, constructive, and provider-friendly manner.

Fosters teamwork and collaboration.

Attends hospital and medical staff meetings to respond to documentation related issues.

Partners with revenue cycle teams to resolve complex coding-related issues. Acts as a subject matter expert for professional coding and documentation improvement questions.

Lifting Floor to Waist 15 lbs. Anticipated Occupational Exposure Risks Include the following: Medical Plan

• Prescription drug coverage & In-House Employee Pharmacy
• Dental Plan
• Flexible Spending Account (FSA)
• Healthcare FSA
• Dependent Care FSA
• Retirement Savings and Investment Plan
• Supplemental Group Term Life & Accidental 
• Disability Benefits – Long Term Disability (LTD)
• Disability Benefits – Short Term Disability (STD)
• Employee Assistance Program
• Supplemental Life Insurance
• Voluntary Life Child
• Voluntary Legal Services
• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance

When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level.

The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare.