Remote Physician Pro Fee Coding Specialist-Cardiology

CHS Career Site; United States; Remote; USD 65,000 - 95,000; Full time

Job summary

CHS Career Site in the United States is seeking a Remote Physician Pro Fee Coder specializing in Cardiology to review, assign CPT, HCPCS, and ICD-10 codes from medical records and ensure proper sequencing and place-of-service coding.

You will conduct coding audits, collaborate with physicians and revenue cycle teams, and maintain HIPAA compliance while supporting accurate reimbursement across payer policies.

Qualifications

• Proficient in CPT/HCPCS/ICD-10 coding with knowledge of modifiers and sequencing.
• Understanding of payer guidelines, NCCI edits, LCD/NCDs, and medical necessity.
• Experience with EHR systems and medical billing workflows.
• Strong attention to detail and ability to educate providers on documentation gaps.
• Familiarity with coding audits and quality reviews.

Responsibilities

• Assigns CPT, HCPCS and ICD-10 codes for professional services based on documentation.
• Ensures compliance with regulations and payer policies, applying NCCI LCDs/NCDs.
• Performs coding audits and quality reviews to verify documentation accuracy.
• Works with billing systems to scrub claims and resolve edits for timely reimbursement.
• Collaborates with physicians and revenue cycle teams to improve coding integrity.

Skills

CPT coding expertise

HCPCS coding expertise

ICD-10 coding expertise

Regulatory compliance

EHR systems experience

Analytical problem solving

Communication skills

Education

HS Diploma or GED

Associate degree in Health Information Management / Healthcare Administration

CCS-Certified Coding Specialist

AHIMA or AAPC certification

RHIT

RHIA

Tools

Athena Collector

Coding software

Job description

United States

Job Description

Job Summary

The Remote Physician Pro Fee Coder-Cardiology 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

• Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation.


• Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs).


• Performs coding audits and quality reviews, verifying accuracy of documentation and identifying areas for provider education.


• Works coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement.


• Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance.


• Performs edit checks on coded data before transmittal, identifying and correcting errors as needed.


• Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies.


• Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices.


• Assists in coding-related special projects, ensuring accurate reporting and analysis of coding data for operational improvement.


• Performs other duties as assigned.


• Maintains regular and reliable attendance.


• Complies with all policies and standards.

Qualifications

• H.S. Diploma or GED required


• Associate Degree in Health Information Management, Healthcare Administration, or a 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 electronic health records (EHR), coding software, and claim processing systems.


• Ability to identify documentation deficiencies and elevate for provider education.


• Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements.


• Strong analytical and problem-solving skills, ensuring accurate coding and optimal reimbursement.


• Effective communication and collaboration skills, working with providers, revenue cycle teams, and compliance staff.

Licenses and Certifications

• CCS-Certified Coding Specialist (CCS-P) required or


• Certified Coder-AHIMA or AAPC or equivalent coding certification required or


• RHIT - Registered Health Information Technician required or


• RHIA - Registered Health Information Administrator required

Job Info

• Job Identification 163097


• Job Category Health Information Mgmt


• Posting Date 08/31/2026, 02:29 PM


• Job Schedule Full time
  
• Job Shift Day


• Locations 4000 Meridian Blvd, Franklin, TN, 37067, US