Profee Inpatient Coding Specialist

CorroHealth • IN-Remote, IN

10d • Remote

About The Position

The Profee Inpatient Coding Specialist provides professional-fee coding services for clients, applying CPT, HCPCS, ICD-10-CM, and ICD-10-PCS codes across at least one to four specialties. Potential professional-fee specialties include UR, podiatry, plastics, pediatrics, OB, pain management, orthopedics, addiction, general surgery, internal medicine, urgent care, pulmonary, and emergency department. Facility chart types may include OT, PT, urgent care, emergency department, and other specialties. The role is performed from home and requires independent coding skills.

The specialist calculates professional-fee evaluation and management levels, assigns diagnosis and procedure codes accurately and at the highest available level of specificity, interprets coding guidelines, and considers how documentation affects code assignment and reimbursement. The role also involves coding hospitalists, nephrology, bedside procedures, split/shared services, and resident services. Team members are expected to follow ethical coding standards, company policies, privacy and security requirements, and quality and productivity expectations, while participating in company-provided training and education.

Requirements

• Certification through AAPC (CPC or COC) or AHIMA (CCS or CCS-P).
• At least six months of on-the-job experience.
• 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.
• Proficiency in Microsoft Excel and Outlook, including basic spreadsheet operations and formulas, and managing email and scheduling or attending meetings.
• Ability to communicate effectively and professionally, verbally and in writing.
• Ability to coordinate, analyze, observe, make decisions, and meet deadlines.
• Regular, predictable, and punctual attendance.
• Ability to work from home and code independently.

Responsibilities

• Provide coding services to support clients.
• Calculate professional-fee evaluation and management levels.
• Apply ICD-10-CM diagnosis codes at the highest level of specificity available.
• Accurately apply diagnosis and procedure codes using ICD-10-CM, ICD-10-PCS, CPT, and HCPCS.
• Code hospitalists, nephrology, bedside procedures, split/shared services, and resident services.
• Interpret coding guidelines to assign codes accurately.
• Recognize the impact of documentation on code assignment and reimbursement.
• Follow AHIMA's Standards of Ethical Coding, the Company's Code of Ethics and Business Conduct, and the Company's Ethics and Compliance Program.
• Comply with internal policies and procedures and applicable privacy and security rules, protecting confidential information including Personal Health Information.
• Participate in company-provided training and education.
• Maintain at least one credential through AAPC or AHIMA.
• Meet ongoing productivity and accuracy expectations and maintain a quality score of at least 95%.
• Perform other duties as assigned by a Leadership Team Member.

What This Job Offers

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