Remote Physician Pro Fee Coding Specialist Denials (OBGYN)

Community Health Systems, Inc.; Franklin (TN); Remote; USD 60,000 - 85,000; Full time

Job summary

Community Health Systems, Inc. is seeking a Remote Physician Pro Fee Coding Specialist (OBGYN) to review and assign CPT, HCPCS, and ICD-10 codes for professional services based on provider documentation.

The role ensures proper sequencing, modifiers, and place-of-service coding, while maintaining HIPAA compliance and coding integrity across the revenue cycle. Collaboration with clinicians and coding education staff is essential.

Qualifications

• Strong knowledge of ICD-10, CPT, and HCPCS coding systems for professional services.
• Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements.
• Experience with payer billing guidelines and clinical documentation improvement.

Responsibilities

• Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services based on provider documentation.
• Ensures compliance with regulations and payer policies, applying NCCI edits and LCDs/NCDs as required.
• Performs coding audits and quality reviews to ensure accuracy and identifies opportunities for provider education.
• Handles coding-related claim edits, holds, and scrubs in the billing system to support timely reimbursement.
• Collaborates with physicians and revenue cycle teams to clarify documentation for optimal coding.

Skills

ICD-10 CPT HCPCS knowledge

Modifier usage & POS coding

Analytical problem-solving

Communication & collaboration

Education

High school diploma or GED

Associate Degree in Health Information Management or related field

Tools

Athena Collector

EHR systems

Job description

Community Health Systems, Inc. is seeking a Remote Physician Pro Fee Coding Specialist (OBGYN) to review and assign CPT, HCPCS, and ICD-10 codes for professional services based on provider documentation.

The role ensures proper sequencing, modifiers, and place-of-service coding, while maintaining HIPAA compliance and coding integrity across the revenue cycle. Collaboration with clinicians and coding education staff is essential.