Revenue Cycle Coder CPC - Remote

Proliance Surgeons, Inc.; Seattle (WA); Remote; USD 55,000 - 75,000; Full time

Job summary

Proliance Surgeons, a leading surgical practice, is seeking a Revenue Cycle Coder to ensure accurate medical billing and coding. This pivotal role involves working closely with patients and healthcare providers to maintain funding for essential services. Candidates should have at least 3 years of experience in coding, relevant certifications, and strong attention to detail. Join us and contribute to our mission of delivering outstanding surgical care.

Benefits

Health Coverage

401k with Match

Paid Time Off

Profit Share

Qualifications

• 3 years coding/medical billing experience is required.
• Certification from AHIMA or AAPC must be kept current.
• Strong understanding of physiology and medical terms is needed.

Responsibilities

• Review/audit medical records for coding accuracy.
• Follow up with providers on documentation issues.
• Appeal denied claims due to coding errors.

Skills

Attention to Detail

Communication Skills

Computer Skills

Education

Professional coder certification (AHIMA/AAPC)

ICD10 certified

Minimum 3 years coding/medical billing experience

Tools

Microsoft Excel

Outlook

Adobe

Job description

Central Service Office, Seattle, Washington, United States of America

Job Description

Posted Monday, June 16, 2025 at 10:00 AM

Proliance Surgeons is one of the largest surgical practices in the country, with over 450 providers including over 200 board-certified physicians providing treatment at more than 100 care centers in Washington State .

At Proliance, our patients come from all walks of life and so do we. We hire, develop and engage great people from a wide variety of backgrounds and encourage growth and development to make our organization a great place to work. We draw on the differences in who we are, what we’ve experienced, and how we think to createExceptional Outcomes,Personally Delivered.

We are proud to offer a comprehensive and competitive benefit and pay package including health coverage, 401k with match and profit share, PTO and more! For further details regarding Benefits and Washington State Minimum Wage details please visit our careers page at www.proliancesurgeons.com/careers

Compensation during the offer process will be determined based on factors such as compensation structure, experience, qualifications, and internal equity.

Be Part of Who We Are!

Position Summary

The role of the Revenue Cycle Coder is crucial to the revenue cycle team. The team connects with our patients, their insurers or bill payers and our physicians. Accuracy and efficiency of this team directly impacts our mission to be the leader in physician-managed healthcare services and to provide excellent surgical and clinical care for every patient, every day. The Revenue Cycle Coder is critical to maintaining the funding for our services provided.

Key Duties and Responsibilities

The key duties and responsibilities of the Revenue Cycle Coder include, but are not limited to:

• Reviews/audits and interprets medical record documentation to identify pertinent diagnosis/procedure and apply correct ICD10, CPT-4, and HCPC’s codes in accordance with government and insurance regulations.
• Demonstrates appropriate utilization of coding software and coding reference material.
• Follow up with providers on any documentation that is insufficient, missing, or unclear.
• Assists providers with questions regarding coding and documentation guidelines. Provides ongoing feedback based on observations from coding documentation and identifies opportunities for education and communicates trends to leaders.
• Keeps up to date on carrier policies/guidelines to ensure all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or Payer-specific guidelines.
• Reviews and resolves suspended charges due to claim edits or payor rejections related to coding.
• Reviews, corrects and appeals coding-related denials trends and shares with leadership, and team members to facilitate root cause analysis and continuous process improvement.
• Corrects and/or appeals denied claims due to coding errors
• Other duties as assigned

Education/Experience

• Minimum 3 years coding/medical billing experience
• Professional coder certification with credentialing from AHIMA and/or AAPC, must be maintained annually
• ICD10 certified and/or extensive work experience

Knowledge, Skills and Abilities

• A strong understanding of physiology, medical terms, and anatomy
• Thorough attention to detail
• Excellent written and verbal communication skills
• Self-motivated team player able to multi-task and prioritize
• Excellent organization and interpersonal communication skills
• Strong computer skills/experience with Microsoft Excel, Outlook, and Adobe
• Working experience navigating EHR’s to abstract documentation

Work Environment/Physical Demands

The work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.

Work may be performed in an office and clinical environment. Requires corrected vision and hearing to normal range. While performing the duties of this job, the associate is regularly required to talk or hear. The associate is required to sit for long periods of time, stand and walk, bend and stretch. Use of telephone and computer is required. Manual dexterity required for use of computer keyboard. Occasionally lifts and carries items weighing up to 40 pounds. May requires working under stressful conditions or working irregular hours.

Central Service Office, Seattle, Washington, United States of America