Gastroenterology ProFee Coder (E/M & Surgical)- Remote

Vee Healthtek, Inc.•Plano, TX

1d•$28 - $30•Remote

About The Position

The Gastroenterology ProFee Coder is responsible for accurate assignment of diagnosis, procedure, and Evaluation & Management (E/M) codes for physician professional services within a gastroenterology practice or health system. This role focuses exclusively on professional fee coding, ensuring compliance with CPT, ICD-10-CM, and payer-specific guidelines to support accurate provider reimbursement.

Requirements

Strong expertise in Professional Fee (physician) coding for gastroenterology
Advanced knowledge of E/M coding rules and documentation requirements
Solid understanding of physician surgical coding, including global services and bundling
Proficiency in CPT, ICD-10-CM, and HCPCS for professional claims
High attention to detail with strong compliance focus
Ability to interpret complex provider documentation
High school diploma or equivalent (required)
Completion of an accredited medical coding program or equivalent experience
2+ years of ProFee gastroenterology coding experience preferred
Experience with physician billing systems and EHR platforms
Must be a US resident and reside in one of the following states: Arizona, Connecticut, Florida, Georgia, Louisiana, Maine, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, and Texas.

Nice To Haves

CPC, CCS-P, or equivalent professional coding certification
Specialty certification in gastroenterology coding (e.g., CGSC) preferred

Responsibilities

Review provider documentation, including office notes, inpatient progress notes, consults, and operative reports, to accurately assign professional fee CPT and ICD-10-CM codes
Code E/M services (office, inpatient, consults, observation, and procedures) in compliance with current AMA and CMS guidelines
Code physician-performed gastroenterology procedures, including endoscopic and surgical services (EGD, colonoscopy, sigmoidoscopy, ERCP, etc.)
Apply appropriate ProFee modifiers (e.g., -25, -26, -57, -59, -51) based on documentation and payer rules
Ensure correct identification of global surgical periods and physician responsibilities within those periods
Validate medical necessity and linkage of diagnoses to procedures for professional claims
Identify documentation gaps and communicate with providers or CDI teams to ensure accurate ProFee coding
Assist with claim edits, denials, and coding-related inquiries for professional services
Maintain productivity, accuracy, and quality benchmarks for ProFee coding