Certified Professional Coder w/ Epic Front End Operational Experience

Shyft6 • Maitland, FL

61d • Remote

About The Position

We’re seeking a Certified Professional Coder (CPC) with hands-on front-end Epic operational experience to support a health system’s day-to-day coding workflows. This contractor will perform professional coding activities directly within Epic’s end-user workflows (e.g., encounter completion, charge entry, charge review workqueues) to ensure accurate, timely, and compliant coding and charge capture.

Requirements

• Active CPC (AAPC) or CCS-P (AHIMA) certification.
• 1–3+ years of recent professional (pro-fee/outpatient) coding experience.
• Epic operational proficiency in front-end workflows (e.g., Visit Navigator, charge entry, workqueues, encounter closure, claim edit).
• Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and payer policies.
• Demonstrated ability to interpret provider documentation and align it to compliant codes.
• Understanding of NCCI edits, E/M guidelines (2021+), and medical necessity rules.
• Excellent attention to detail, time management, and written communication.
• HIPAA and confidentiality adherence.

Nice To Haves

• Prior work in a health system using Epic Professional Billing (PB) and/or Ambulatory modules.
• Experience with specialty coding (e.g., primary care, cardiology, general surgery, orthopedics).
• Familiarity with charge router workflows, claim edit resolution, and payer-specific clearinghouse edits.
• Exposure to denials management and root-cause correction in front-end processes.

Responsibilities

• Review clinical documentation and assign CPT/HCPCS, ICD-10-CM codes within Epic at the point of coding (front end), ensuring compliance with payer guidelines and health system policies.
• Work in Epic workqueues (e.g., Charge Review, Claim Edit, Coding WQs) to resolve edits, denials, and holds; clear daily queues to meet turnaround goals.
• Validate medical necessity and modifier usage; correct charge router/charge session issues before billing.
• Collaborate with revenue cycle, clinic operations, and providers to clarify documentation and close coding gaps.
• Apply payer-specific rules and NCCI edits, LCD/NCD guidance, and organizational coding standards.
• Monitor and reduce charge lag and DNFB by proactively addressing front-end coding defects.
• Document coding rationales and maintain clear audit trails within Epic.
• Meet or exceed productivity and accuracy benchmarks; support internal and external audits.
• Escalate systemic issues (template gaps, SmartTool opportunities, recurring edits) and suggest fixes to improve first-pass yield.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 251-500 employees