Professional Coding and Documentation Improvement Specialist - FT - Day - Physician Professional Coders Remote (NJ, PA, AL)

Capital-Health; Alabama; Hybrid; USD 40,000 - 52,000; Full time

Benefits offered by this job

Medical Plan

Prescription drug coverage

Dental Plan

Vision Plan

FSA – Healthcare

Job summary

Capital Health is seeking a Physician Coding Specialist to ensure compliant documentation and accurate CPT, E&M coding across multiple EMR systems. The role requires CPC or CCS-P certification and at least two years of professional coding experience.

The candidate will educate providers and collaborate with revenue cycle to optimize coding accuracy. This is a remote opportunity available to candidates in Alabama, New Jersey, or Pennsylvania, with typical full-time hours and a competitive

Qualifications

• High School Diploma or equivalent.
• Associate degree in Health Information Management preferred.
• CPC or CCS-P certification required.

Responsibilities

• Review medical record documentation for accurate diagnosis, CPT, and E&M codes.
• Monitor provider E&M codes to ensure documentation supports medical necessity and compliance.
• Develop and deliver education materials to improve documentation quality and coding accuracy.]
• Meets or exceeds departmental accuracy and productivity standards.
• Collaborates with revenue cycle teams to resolve coding issues and supports pre-bill edits as needed.

Skills

Communication skills

EMR proficiency

Analytical thinking

Education

CPC or CCS-P credential

Tools

Microsoft Excel

Outlook

Word

PowerPoint

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. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).Pay Range:$29.27 - $38.25Scheduled Weekly Hours:40Position Overview*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. Performs provider feedback and education on proper documentation to support code level selections. 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).MINIMUM REQUIREMENTSEducation: 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.Other Credentials:Knowledge and Skills: Excellent verbal and written communication skills. Knowledge of pathophysiology and disease processes. Strong knowledge of industry guidelines and laws for physician coding and reimbursement. Possesses research and analysis skillsSpecial 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.Mental, Behavioral and Emotional Abilities: Ability to work in environment using multiple EMR systems. Ability to learn and develop documentation and education skills to perform physician education. Ability to work collaboratively with others as well as independentlyUsual Work Day: 8 HoursReporting RelationshipsDoes this position formally supervise employees? NoIf set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.ESSENTIAL FUNCTIONSReviews 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 accuracyDevelops and delivers education material to promote clear, accurate and complete documentation and compliance with professional coding standards.Meets or exceeds departmental accuracy and productivity standardsCommunicates 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. Supports professional coders with pre-bill edits as needed.Facilitates change processes required to capture needed documentation on EMR templates.Assists in appeals process resulting from third party reviews.Acts as a subject matter expert for professional coding and documentation improvement questions.Performs all other duties as assigned.PHYSICAL DEMANDS AND WORK ENVIRONMENTFrequent physical demands include:Occasional physical demands include: Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motion , Taste or Smell , Talk or HearContinuous physical demands include: SittingLifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Minimal Color Discrimination, Accurate Depth Perception, Accurate HearingAnticipated Occupational Exposure Risks Include the following: N/AIND123.This position is eligible for the following benefits:Medical PlanPrescription drug coverage & In-House Employee PharmacyDental PlanVision PlanFlexible Spending Account (FSA)- Healthcare FSA- Dependent Care FSARetirement Savings and Investment PlanBasic Group Term Life and Accidental Death & Dismemberment (AD&D) InsuranceSupplemental Group Term Life & Accidental Death & Dismemberment InsuranceDisability Benefits – Long Term Disability (LTD)Disability Benefits – Short Term Disability (STD)Employee Assistance ProgramCommuter TransitCommuter ParkingSupplemental Life Insurance- Voluntary Life Spouse- Voluntary Life Employee- Voluntary Life ChildVoluntary Legal ServicesVoluntary Accident, Critical Illness and Hospital Indemnity InsuranceVoluntary Identity Theft InsuranceVoluntary Pet InsurancePaid Time-Off ProgramThe pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. 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. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.