Clinic Professional Medical Coder

Minneola Healthcare • Minneola, KS

1d • Remote

About The Position

The Clinic Professional Medical Coder reviews clinical documentation and accurately assigns and validates diagnosis, procedure, and professional fee codes to support compliant billing and reimbursement. The role codes provider documentation using ICD-10-CM, CPT, HCPCS, and Evaluation and Management (E/M) codes, ensuring services rendered are accurately captured and billed. The coder also serves as a resource to providers and staff on coding guidelines, documentation requirements, reimbursement regulations, and charge capture opportunities.

The position reports directly to the HIM Director and works closely with HIM personnel, Revenue Cycle and Business Office staff, fellow coding team members, and external billing vendors. Work is primarily performed in a remote office environment, with periodic onsite presence required. The role involves frequent computer and electronic health record use, virtual and in-person communication, and handling confidential patient and financial information in compliance with HIPAA and organizational policies.

Requirements

• Experience coding professional fees for Rural Health Clinics, Emergency Departments, and Ambulatory Surgery services.
• Ability to work independently while maintaining productivity and quality standards.
• Current coding certification from AHIMA or AAPC, or relevant professional coding experience may be considered in lieu of certification.
• Ability to sit for extended periods while working on a computer and participating in virtual meetings.
• Ability to occasionally stand, walk, bend, reach, and move throughout hospital and clinic facilities during onsite visits.
• Ability to lift up to 20 pounds occasionally.
• Ability to operate standard office equipment, computers, and communication devices.
• Ability to maintain a secure remote work environment and protect confidential patient and financial information in compliance with HIPAA and organizational policies.

Nice To Haves

• Inpatient and outpatient E/M coding experience.
• Experience with hospital and rural health clinic billing, reimbursement, and coding.

Responsibilities

• Review clinical documentation and assign appropriate ICD-10-CM diagnosis codes, E/M levels, CPT procedure codes, HCPCS Level II codes, and codes for vaccines, immunizations, allergy injections, and other injectables.
• Code and bill professional charges for Rural Health Clinic (RHC), Ambulatory Surgery, and Emergency Room services.
• Interpret medical record documentation and apply appropriate coding guidelines.
• Apply knowledge of Medicare, Medicaid, and commercial payer guidelines.
• Work with billing staff, patient accounts personnel, and external billing entities to review, correct, and resolve coding and billing issues affecting claim submission and reimbursement.
• Review and respond to Revenue Cycle work queue items requiring coding clarification, documentation review, or charge corrections.
• Perform other duties as assigned to support organizational objectives.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed