Remote Physician Practice Coder

Romehosp; City of Rome (NY); On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

Medical, dental, vision

HSA plan

403(b) match

Life and AD&D insurance

Job summary

Rome Health is seeking a Professional/Physician Practice Coder to assign ICD-10-CM, CPT, and HCPCS codes for physician services. You will ensure complete, accurate, and compliant coding according to guidelines and payer requirements.

You’ll collaborate with providers to clarify documentation, support coding reviews, and meet productivity and quality standards while working remotely after training. A credential in health information management is required or preferred, with related coding

Qualifications

• High school diploma or equivalent required.
• Current RHIA, RHIT, CCS, CCA, or CPC credential required.
• Knowledge of professional and physician practice coding, including ICD-10-CM, CPT, HCPCS, modifiers, and applicable coding guidelines.
• Knowledge of medical terminology, anatomy, physiology, and basic healthcare reimbursement principles.
• Knowledge of Medicare regulations, payer requirements, and National Correct Coding Initiative edits.
• Demonstrated critical-thinking, analytical, organizational, and problem-solving skills.
• Ability to interpret clinical documentation and assign accurate, compliant codes.
• Ability to maintain accuracy and productivity while managing multiple priorities and deadlines.
• Proficiency in electronic health records, coding and billing applications, email, telephone systems, and standard computer software.
• Ability to work independently in a remote environment after training.
• An associate's or bachelor's degree in health information management preferred; prior coding experience preferred.

Responsibilities

• Reviews professional and physician practice documentation and assigns ICD-10-CM, CPT, and HCPCS codes.
• Ensures coding complies with official guidelines, Medicare regulations, payer requirements, and NCIs.
• Verifies encounters are complete and identifies missing documentation or data.
• Submits documentation clarification queries to providers when information is incomplete.
• Assists providers with documentation and coding questions while maintaining integrity.
• Resolves coding edits, claim denials, and aging encounters with other departments.
• Meets established coding accuracy, quality, and productivity standards.
• Maintains knowledge of coding guidelines and regulatory changes.
• Participates in peer reviews, coding audits, and training of new team members.
• Protects patient confidentiality and HIPAA compliance.

Skills

Analytical skills

Critical thinking

Problem solving

Remote work ability

Education

RHIA/RHIT/CCS/CCA/CPC credential

Associate's or Bachelor's in health information management

Tools

EHR software

Coding and billing software

Job description

Rome Health is seeking a Professional/Physician Practice Coder to assign ICD-10-CM, CPT, and HCPCS codes for physician services. You will ensure complete, accurate, and compliant coding according to guidelines and payer requirements.

You’ll collaborate with providers to clarify documentation, support coding reviews, and meet productivity and quality standards while working remotely after training. A credential in health information management is required or preferred, with related coding