The Onyx Group - Medical Physician Coder

Parkside Pediatrics; Greenville (SC); On-site; USD 45,000 - 65,000; Full time

Job summary

Parkside Pediatrics is seeking a Medical Physician Coder to ensure accurate coding of physician services. This role requires reviewing documentation and applying diagnosis codes while maintaining compliance with regulations and payer guidelines.

Successful candidates will utilize coding resources and electronic health record systems like Epic. The position offers a dynamic work environment where collaboration with clinical teams is essential for optimal reimbursement.

Qualifications

• Certified coder with expertise in ICD-10-CM and CPT coding.
• Experience with electronic health records and clearinghouse platforms.
• Strong understanding of regulatory compliance and coding standards.

Responsibilities

• Review documentation and assign diagnosis and procedure codes.
• Ensure compliance with coding guidelines and accuracy.
• Collaborate with clinical teams to resolve coding discrepancies.

Skills

ICD-10-CM coding

CPT coding

HCPCS coding

Evaluation & Management (E/M)

Attention to detail

Education

Certification in Medical Coding

Tools

Epic

E Clinical Works (eCW)

Waystar

FinThrive

Job description

The Onyx Group - Medical Physician Coder

Bonaventure Cir, Greenville, SC 29607, USA

Weekly Hours

Monday – Friday, 8:00 AM – 5:00 PM (1-hour lunch) or Monday – Friday, 8:00 AM – 4:30 PM (30-minute lunch) (40 hours/week)

Supervised by

Manager, Revenue Cycle

Position Overview

The Medical Physician Coder is responsible for reviewing provider documentation and accurately assigning diagnosis and procedure codes for physician (professional billing/PB) services. The coder ensures all coding is compliant with federal regulations, payer guidelines, and organizational policies to support accurate charge capture and clean claim submission. This role utilizes the Epic electronic health record and or E Clinical Works (eCW) and coding tools to code physician encounters and works with clearinghouse platforms such as Waystar and/or FinThrive to support claim validation and error resolution. The coder collaborates with revenue cycle and clinical teams to ensure documentation supports medical necessity and coding accuracy while maintaining established productivity and quality standards.

Responsibilities

• Review physician documentation and assign appropriate ICD-10-CM, CPT, and HCPCS codes for professional billing services in Epic in accordance with official coding guidelines.
• Apply appropriate Evaluation & Management (E/M) levels, modifiers, and procedure codes based on provider documentation and payer requirements.
• Ensure coding supports medical necessity and payer guidelines, including Medicare and commercial payer policies.
• Perform coding validation and quality checks to ensure accuracy, completeness, and compliance with regulatory standards.
• Identify documentation deficiencies and communicate with providers or clinical staff for clarification when necessary.
• Work within Waystar and/or FinThrive clearinghouse platforms to support clean claim submission and resolve coding-related edits prior to claim transmission.
• Maintain knowledge of National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCD), National Coverage Determinations (NCD), and payer-specific policies.
• Collaborate with revenue cycle teams to resolve claim edits, coding discrepancies, and billing issues impacting reimbursement.
• Utilize coding resources such as Epic coding tools, encoders, reference materials, and payer guidance to support accurate coding.
• Maintain compliance with HIPAA, regulatory requirements, and organizational policies in all coding activities.
• Participate in departmental meetings, training sessions, and continuing education to maintain coding competency and stay current with industry changes.

Productivity & Quality Expectations

• Maintain established coding productivity standards as defined by departmental leadership.
• Achieve and maintain coding accuracy and quality benchmarks, typically measured through internal quality audits.
• Ensure timely completion of assigned coding work queues to support efficient claim submission and revenue cycle operations.
• Demonstrate attention to detail and consistent adherence to coding compliance standards and organizational policies.

Physical Demands

Continuously requires sitting, typing, verbal communication. Frequently requires reaching above the shoulder, reaching outward, lifting items weighing 10 pounds or less, pushing/pulling items weighing 10 pounds or less. Infrequently requires standing, walking, climbing, crawling, bending, squatting/kneeling, lifting items weighing up to 20 pounds, pushing/pulling 11+ pounds. Person may be exposed to fumes, airborne particles, infectious diseases, blood/bodily fluids, and disease-bearing specimens.

The Onyx Group is an Equal Opportunity Employer.