Coder Physician

OmegaBoca Raton, FL
Remote

About The Position

We are seeking an experienced Pediatric Professional Medical Coder to join our team. The ideal candidate will have strong knowledge of pediatric professional fee coding, E/M leveling, and coding guidelines, along with experience utilizing Epic. This role is responsible for reviewing provider documentation, assigning accurate ICD-10-CM, CPT, and HCPCS codes, and ensuring compliance with federal regulations, payer requirements, and organizational policies.

Requirements

  • Strong understanding of pediatric terminology, anatomy, and disease processes
  • Ability to work independently and manage productivity expectations
  • Strong organizational and time management skills
  • Proficiency in Microsoft Office and coding software systems
  • Ability to adapt to workflow and system changes in a fast-paced environment

Nice To Haves

  • Experience utilizing Epic

Responsibilities

  • Review and code pediatric professional fee encounters.
  • Assign accurate ICD-10-CM, CPT, HCPCS, and modifier usage based on provider documentation
  • Perform E/M leveling in accordance with current AMA and CMS guidelines
  • Utilize Epic for coding workflow and charge review
  • Ensure coding accuracy, productivity, and compliance standards are consistently met
  • Review documentation for medical necessity and appropriate code assignment
  • Identify and communicate documentation opportunities or coding discrepancies to providers and leadership
  • Maintain current knowledge of coding updates, payer guidelines, and regulatory changes
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