Remote Physician Pro Fee Coding Specialist - Anesthesiology

Lensa; Franklin (TN); Remote; USD 60,000 - 85,000; Full time

Job summary

A leading career site is seeking an Anesthesia Physician Coder responsible for accurate medical coding and compliance. The role involves reviewing documentation, ensuring coding integrity, and collaborating with healthcare teams to maintain revenue cycle accuracy. Ideal candidates will have relevant coding certifications and experience in physician coding.

Qualifications

• 2-4 years of experience in physician coding or medical billing required.
• Certified Coder (AHIMA or AAPC - CPC) required.
• CCS-Certified Coding Specialist (CCS-P) required.

Responsibilities

• Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services.
• Ensures compliance with coding protocols and performs audits.
• Collaborates with physicians and revenue cycle teams for documentation.

Skills

ICD-10 coding

CPT coding

HCPCS coding

Analytical skills

Problem-solving skills

Communication skills

Education

H.S. Diploma or GED

Associate Degree in Health Information Management

Tools

EHR systems

Coding software

Job description

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Job Summary

The Anesthesia Physician Coder is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement.

Essential Functions

1. Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation.
2. Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following NCCI edits, LCDs, and NCDs.
3. Performs coding audits and quality reviews, verifying documentation accuracy and identifying areas for provider education.
4. Works on coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement.
5. Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance.
6. Performs edit checks on coded data before transmittal, correcting errors as needed.
7. Maintains confidentiality of patient records, provider information, and financial data, adhering to HIPAA and compliance policies.
8. Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices.
9. Assists in coding-related projects, ensuring accurate reporting and analysis of coding data for operational improvements.
10. Performs other duties as assigned and complies with all policies and standards.

Qualifications

• H.S. Diploma or GED required
• Associate Degree in Health Information Management, Healthcare Administration, or related field preferred
• 2-4 years of experience in physician coding, professional fee coding, or medical billing required
• Experience with multiple specialties, surgical coding, or high-volume professional fee coding preferred

Knowledge, Skills, and Abilities

• Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services
• Understanding of modifier usage, place-of-service coding, and payer billing guidelines
• Experience with EHR, coding software, and claim processing systems
• Ability to identify documentation deficiencies and escalate for provider education
• Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements
• Strong analytical and problem-solving skills for accurate coding and reimbursement
• Effective communication and collaboration skills with providers, revenue cycle, and compliance teams

Licenses and Certifications

• Certified Coder (AHIMA or AAPC - CPC) required
• CCS-Certified Coding Specialist (CCS-P) required
• Additional certifications like CEMC or RHIT preferred

Equal Employment Opportunity

This organization does not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or military service, in accordance with laws. Reasonable accommodations are available for applicants with disabilities. Contact Human Resources for assistance.