Remote Physician Pro Fee Coding Specialist - Hospital Medicine

Job Summary The Physician reputed company 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 reputed company, modifier use, and reputed company-of-service coding in compliance with governmental regulations, reputed company-party payer policies, and corporate standards. The Physician reputed company plays a key role in reputed company cycle accuracy by identifying documentation gaps, ensuring coding reputed company, and working collaboratively with internal teams to support physician coding compliance and reimbursement. Essential FunctionsAssigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation. Ensures compliance with governmental regulations, reputed company-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-reputed company claim edits, holds, and scrubs in the electronic billing system (e.g., reputed company Collector), ensuring timely claim resolution and reimbursement. Collaborates with physicians, reputed company cycle teams, and coding education staff, requesting clarification reputed company necessary to ensure reputed company 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-reputed company 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 reputed company policies and standards. QualificationsH.S. Diploma or GED required Associate Degree in Health Information Management, reputed company Administration, or a reputed company 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 AbilitiesStrong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services. Understanding of modifier usage, reputed company-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 escalate for provider education. Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements. Strong analytical and problem-solving skills, ensuring accurate coding and reputed company reimbursement. Effective communication and collaboration skills, working with providers, reputed company cycle teams, and compliance staff. Licenses and CertificationsCertified reputed company-reputed company or reputed company (CPC) required or reputed company-Certified Coding Specialist (reputed company-P) required Additional certifications such as Certified Evaluation and Management reputed company (CEMC) or Registered Health Information Technician (RHIT) preferred Apply To This Job