Remote Physician Pro Fee Coding Specialist-Vascular Cardiology

CHS Corporate; United States; Remote; USD 65,000 - 90,000; Full time

Job summary

CHS Corporate in Franklin, TN is seeking a Remote Physician Pro Fee Coding Specialist-Vascular Cardiology to review, analyze, and assign CPT, HCPCS, and ICD-10 codes for professional services documented in medical records.

The role ensures proper sequencing and modifiers, adheres to NCCI, LCDs, and NCDs, and supports reimbursement through accurate coding and collaboration with internal teams.

Qualifications

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

Responsibilities

• Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services based on provider documentation.
• Ensures compliance with regulations, payer policies, and coding protocols including NCCI, LCDs, and NCDs.
• Performs coding audits and quality reviews to verify documentation accuracy.
• Works coding-related claim edits, holds, and scrubs in the billing system (Athena Collector).
• Collaborates with physicians and revenue cycle teams, requesting clarification when needed.
• Performs edit checks on coded data before transmittal and corrects errors.
• Maintains confidentiality of patient records and financial data per HIPAA and compliance policies.
• Escalates coding issues to education teams for provider training.
• Assists in coding-related special projects for reporting and improvement.
• Performs other duties as assigned; maintains regular attendance.

Skills

CPT coding

HCPCS coding

ICD-10 coding

NCCI edits

EHR systems

Claim processing

Education

Associate Degree in Health Information Management

Tools

Athena Collector

EHR software

Job description

United States

Job Description

Job Summary

The Remote Physician Pro Fee Coding Specialist-Vascular 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 escalating 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 163098
• Job Category Health Information Mgmt
• Posting Date 08/28/2026, 02:55 PM
• Job Schedule Full time
• Job Shift Day
• Locations 4000 Meridian Blvd, Franklin, TN, 37067, US