Remote Family Practice / Internal Medicine Coder

Practice Resources, LLC; City of Syracuse (NY); Remote; USD 25.000 - 41.000; Vollzeit

Benefits dieser Stelle

Fully remote work environment

Flexible scheduling

Flex weeks after training

AAPC/AHIMA dues paid

Coding books provided

Access to AAPC webinars for CEUs

EncoderPro and coding resources

Supportive team of coding pros

Opportunity to be subject matter #educ

Zusammenfassung

Practice Resources, LLC seeks an experienced Family Practice and/or Internal Medicine coder for a fully remote role. You will review physician documentation, assign ICD-10-CM, CPT, HCPCS Level II and Category II codes, and support denial resolution and quality reporting.

A minimum of 3 years' coding experience and current CPC/CCS/RHIT/RHIA certification are required. This role offers flexible scheduling and ongoing professional development.

Qualifikationen

• Current professional coding certification (CPC, CCS, RHIT, RHIA or CPC-I).
• Minimum of three years of Family Practice and/or Internal Medicine coding experience.
• Strong knowledge of ICD-10-CM, CPT, HCPCS Level II and Category II codes.

Aufgaben

• Review and code Family Practice and Internal Medicine encounters using ICD-10-CM, CPT, HCPCS Level II, and Category II codes.
• Validate charge capture to ensure coding accuracy, compliance, and appropriate reimbursement.
• Assign diagnosis, procedure, modifier, and Category II codes based on provider documentation and official coding guidelines.
• Assist with denial management, payer workflows, and documentation improvement initiatives.
• Maintain productivity and accuracy while working remotely.

Kenntnisse

AAPC/AHIMA certification

3+ years Family Practice/IM coding

ICD-10-CM CPT HCPCS Category II

Tools

Coding guidelines proficiency

Jobbeschreibung

Practice Resources, LLC is seeking an experienced, detail-oriented Family Practice and/or Internal Medicine Coder to join our growing coding team. If you enjoy applying your coding expertise in a collaborative environment, working directly with providers, researching complex coding scenarios, and staying current with coding and compliance guidelines, we'd love to hear from you.

This is a fully remote position offering flexibility, ongoing education, and the opportunity to work with a team that values coding accuracy, quality reporting, compliance, and professional development.

Pay Range: $18.00-$30.00 per hour

Why Join Practice Resources, LLC?

• Fully remote work environment
• Flexible scheduling
• Flex weeks available after training
• AAPC/AHIMA membership dues paid by PRL
• Coding books provided
• Access to AAPC webinars for CEUs
• EncoderPro and additional coding resources provided
• Supportive team of experienced coding professionals
• Opportunity to serve as a coding subject matter expert and educator
• Ongoing education and exposure to evolving coding, compliance, and quality reporting initiatives

Position Summary

As a key member of our coding team, you will review physician documentation to ensure accurate code assignment, charge capture, compliance, and reimbursement. You will apply expertise in ICD-10-CM, CPT, HCPCS Level II, and Category II coding, while supporting providers through coding education, documentation improvement, denial resolution, and quality reporting initiatives.

The ideal candidate has a strong background in Family Practice and/or Internal Medicine coding, enjoys solving coding challenges, works independently, and understands the critical role accurate coding plays in both reimbursement and quality outcomes.

Essential Responsibilities

• Review and code Family Practice and Internal Medicine encounters using ICD-10-CM, CPT, HCPCS Level II, and Category II coding guidelines.
• Monitor and validate charge capture to ensure coding accuracy, compliance, and appropriate reimbursement.
• Assign diagnosis, procedure, modifier, and Category II codes based on provider documentation and official coding guidelines.
• Apply coding expertise to a variety of primary care services, including:
  • Office and outpatient E/M services
  • Preventive medicine services
  • Medicare Annual Wellness Visits (AWV) and IPPE services
  • Transitional Care Management (TCM)
  • Chronic Care Management (CCM)
  • Behavioral Health Integration (BHI) and related services
  • Split/shared visits
  • In-office procedures and injections
  • Quality reporting initiatives and performance measure abstraction utilizing Category II codes
• Review medical documentation to ensure complete and accurate coding of symptoms, diseases, injuries, treatments, and procedures.
• Maintain a thorough understanding of NCCI edits, relative value units (RVUs), payer-specific requirements, and quality reporting programs.
• Communicate coding and documentation guidelines to physicians and clinical staff to improve documentation quality and coding accuracy.
• Research and resolve coding questions using available coding resources, payer policies, and regulatory guidance.
• Support Medicare, Medicaid, and commercial payer workflows related to coding reviews, denial management, appeals, and supporting documentation.
• Assist with provider education and documentation improvement initiatives that support compliance, reimbursement, and quality performance metrics.
• Apply professional judgment to identify potential coding and compliance concerns and provide accurate recommendations.
• Participate in coding team meetings and serve as a coding subject matter expert.
• Maintain productivity standards while meeting company quality and accuracy expectations.

Qualifications

Required

• Current AAPC or AHIMA certification (CPC®, CCS®, RHIT®, RHIA®, CPC-I®, or equivalent).
• Minimum of three years of Family Practice and/or Internal Medicine coding experience.
• Thorough knowledge of anatomy, physiology, and medical terminology.
• Strong working knowledge of:
  • ICD-10-CM
  • CPT
  • HCPCS Level II
  • Category II codes and quality measure reporting
  • E/M coding guidelines
  • Medicare, Medicaid, and commercial payer requirements
  • Experience reviewing provider documentation and assigning appropriate diagnosis, procedure, and modifier codes.
  • Excellent verbal and written communication skills.
  • Ability to work independently, manage multiple priorities, and meet productivity expectations in a remote environment.

Preferred

• Experience auditing provider documentation and providing coding education to physicians and clinical staff.
• Familiarity with value-based care models, quality reporting programs, MIPS measures, HEDIS measures, and preventive care metrics.
• Experience with denial management, payer appeals, and documentation review.
• Knowledge of primary care quality initiatives and performance-based reimbursement programs.

About the Role

We’re looking for a coding professional who is passionate about primary care, enjoys researching complex coding scenarios, and values both accuracy and compliance. The ideal candidate understands the connection between coding, documentation, reimbursement, and quality outcomes and is comfortable serving as a trusted resource for providers and colleagues.