Remote Pro-Fee Coder - E/M & ICD-10 Specialist

Insight Global; United States; On-site; USD 65,000 - 90,000; Full time

Job summary

Insight Global is seeking a professional medical coder with Pro-Fee experience to review and code encounters using ICD-10-CM, CPT, and HCPCS in a fully remote role. You will assign accurate E/M levels and diagnoses, abstract data for billing and reporting, and ensure documentation supports services billed.

The ideal candidate holds active AAPC/AHIMA certification, demonstrates strong knowledge of coding guidelines, and collaborates with physicians and billing teams to resolve edits and ensure

Qualifications

• Review and code professional fee encounters using ICD-10-CM, CPT, and HCPCS guidelines.
• Assign accurate E/M levels, diagnoses, and procedure codes to ensure compliant reimbursement.
• Abstract key patient and encounter data for billing, regulatory, and reporting purposes.
• Audit medical records to ensure documentation supports services billed and identify documentation gaps.
• Communicate with physicians and providers to obtain coding and documentation clarifications.
• Review and resolve coding-related claim edits, including medical necessity and NCCI/CCI edits.
• Collaborate with billing and Accounts Receivable teams to resolve coding and reimbursement issues.
• Maintain quality and productivity standards while meeting a 95% coding accuracy requirement.
• Work within EMR, hospital information systems, and encoder software in a fully remote environment.
• Stay current on coding regulations, payer requirements, and continuing education requirements.

Responsibilities

• Review and code professional fee encounters using ICD-10-CM, CPT, and HCPCS guidelines.
• Assign E/M levels and diagnoses/procedures for reimbursement.
• Abstract patient data for billing and regulatory reporting.
• Audit records to ensure documentation supports services billed.
• Communicate with physicians for clarifications.
• Resolve coding-related claim edits and medical necessity.
• Collaborate with billing and AR teams on issues.
• Maintain 95% accuracy and productivity in coding.
• Operate in remote EMR environment and keep up with regulations.

Skills

Pro-Fee Coding

AAPC/AHIMA Certification

E/M Coding

ICD-10-CM/CPT/HCPCS

Documentation Auditing

Communication & Collaboration

Remote Work Experience

Regulatory Compliance

NCCI/CCI Edits

Medical Billing Liaison

Tools

Cerner EMR

Encoder Software

Microsoft Outlook

Microsoft Excel

Microsoft Teams

Job description

Insight Global is seeking a professional medical coder with Pro-Fee experience to review and code encounters using ICD-10-CM, CPT, and HCPCS in a fully remote role. You will assign accurate E/M levels and diagnoses, abstract data for billing and reporting, and ensure documentation supports services billed.

The ideal candidate holds active AAPC/AHIMA certification, demonstrates strong knowledge of coding guidelines, and collaborates with physicians and billing teams to resolve edits and ensure