Profee Inpatient Medical Coder

CorroHealth•AL-Remote, AL

3d•Remote

About The Position

The Profee Inpatient Medical Coder provides professional-fee coding services for inpatient hospitalist charts and specialties, supporting clients across the reimbursement cycle. The role codes CPT, HCPCS, ICD-10-CM, and ICD-10-PCS and may cover at least one and up to four specialties, including UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Orthopedics, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or Emergency Department. The coder calculates professional-fee and/or facility E/M levels using a company-created algorithm, recognizes critical-care cases based on patient acuity, and assigns codes accurately and to the highest level of specificity supported by documentation. The Team Member works from home and independently applies coding skills. They interpret coding guidelines, consider documentation’s effect on code assignment and reimbursement, maintain required accuracy, quality, and productivity standards, and protect confidential information, including Personal Health Information. The role also requires compliance with ethical standards, company policies, and privacy and security rules, as well as participation in company training and education.

Requirements

Certification through either AAPC or AHIMA, with at least one credential maintained.
At least 2 years of on-the-job experience.
Ability to work from home and code independently.
Working knowledge of and experience with systems such as EMR and billing systems.
Phone, reliable internet connection, and current coding materials, including CPT and ICD-10-CM references.
Ability to maintain productivity and accuracy of 95% or higher and a quality score of 95% or higher.
Proficiency with Microsoft Excel and Outlook, including basic spreadsheet operations and formulas, email management, and scheduling and attending meetings.
Effective, professional verbal and written communication skills.
Ability to coordinate, analyze, observe, make decisions, and meet deadlines.

Responsibilities

Provide coding services to support clients.
Code professional-fee inpatient charts for hospitalists and specialties.
Calculate professional-fee and/or facility E/M levels using a company-created algorithm.
Recognize critical-care cases based on patient acuity.
Accurately assign diagnosis and procedure codes using ICD-10-CM, ICD-10-PCS, CPT, and HCPCS, applying diagnosis codes to the highest level of specificity available.
Interpret coding guidelines and understand how documentation affects code assignment and reimbursement.
Maintain required productivity, accuracy, and quality levels.
Follow AHIMA's Standards of Ethical Coding, the Company's Code of Ethics and Business Conduct, the Ethics and Compliance Program, and internal policies and procedures.
Participate in company-provided training and education.
Comply with privacy and security rules and protect confidential information, including Personal Health Information.
Maintain regular, predictable, and punctual attendance.
Perform other duties as assigned by a Leadership Team Member.