Profee Inpatient Coding Specialist

CorroHealth • ME-Remote, ME

6d • Remote

About The Position

CorroHealth’s Coding Specialist supports clients by providing CPT, HCPCS, and ICD-10-CM coding across at least one to four specialties. Work may involve professional fee, facility, or HCC coding. Professional fee specialties may include UR, podiatry, plastics, pediatrics, OB, pain management, orthopedics, addiction, general surgery, internal medicine, urgent care, pulmonary, or emergency department coding. Facility chart types may include OT, PT, urgent care, emergency department, or other specialties.

The role is performed from home and requires independent coding skills. The Coding Specialist provides coding services to clients, applies applicable guidelines and code sets, and supports accurate coding and reimbursement. The position requires adherence to ethical, privacy, security, and company policies, along with participation in company training and education.

Requirements

• Must hold a coding certification from AAPC (CPC or COC) or AHIMA (CCS or CCS-P).
• At least six months of on-the-job experience.
• Regular, predictable, and punctual attendance.
• Working knowledge and experience with systems such as EMR and billing systems.
• A phone, reliable internet connection, and current coding materials, including CPT and ICD-10-CM coding references.
• Maintain a productivity level and accuracy rate of 95% or higher.
• Maintain a quality score of 95% or higher.
• Proficiency with Microsoft Excel and Outlook, including basic spreadsheet use and formulas, email management, and scheduling or attending meetings.
• Effective and professional verbal and written communication skills.
• Ability to coordinate, analyze, observe, make decisions, and meet deadlines.
• Ability to work from home and code independently.

Responsibilities

• Provide various components of coding services to support clients.
• Calculate professional fee and/or facility E/M levels using a company-created algorithm.
• Recognize critical care cases based on patient acuity.
• Code surgical procedures typical of an emergency department setting to capture additional revenue when appropriate.
• Apply ICD-10-CM diagnosis codes at the highest level of specificity available.
• Accurately assign diagnosis and procedure codes using ICD-10-CM, ICD-10-PCS, CPT, and HCPCS.
• Interpret coding guidelines to assign codes accurately.
• Recognize the importance of documentation to code assignment and its reimbursement impact.
• Follow AHIMA’s Standards of Ethical Coding, the Company’s Code of Ethics and Business Conduct, the Company’s Ethics and Compliance Program, and internal policies and procedures.
• Participate actively in company-provided training and education.
• Maintain compliance with privacy and security rules and protect confidential company information, including personal health information.
• Maintain required productivity, accuracy, and quality standards.
• Perform other duties as assigned by a Leadership Team Member.

What This Job Offers

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