Profee Multispecialty Hospitalist Coding Specialist
About The Position
The Coding Specialist provides CPT, HCPCS, and ICD-10-CM coding services across one to four specialties. Work may include professional fee, facility, or HCC coding; professional fee specialties may include areas such as hospitalist, GI, internal medicine, urgent care, emergency department, and other listed specialties. Facility chart types may include occupational therapy, physical therapy, urgent care, emergency department, or other specialties. The role is remote-capable and requires the team member to work independently in their coding skills. The specialist supports clients by accurately applying diagnosis and procedure codes, interpreting coding guidelines, assessing documentation and its impact on code assignment and reimbursement, and calculating professional-fee E/M levels using a company-created algorithm. Coders must maintain an AAPC or AHIMA credential, meet ongoing productivity and quality standards, protect confidential information, follow ethical and compliance requirements, and participate in company-provided training.
Requirements
- AAPC certification (CPC or COC) or AHIMA certification (CCS or CCS-P).
- At least six months of on-the-job experience.
- Experience with GI and/or hospitalist coding.
- Working knowledge and experience with systems such as EMR and billing systems.
- A phone, reliable internet connection, and current coding references such as CPT and ICD-10-CM materials.
- Ability to maintain productivity and accuracy of 95% or higher and a quality score of 95% or higher.
- Proficiency in Microsoft Excel and Outlook, including basic spreadsheet operations and formulas, email management, and scheduling and attending meetings.
- Effective and professional verbal and written communication skills.
- 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 E/M levels using the company-created algorithm.
- Recognize critical-care cases based on patient acuity.
- Apply ICD-10-CM diagnosis codes to the highest level of specificity available.
- Accurately apply diagnosis and procedure codes using ICD-10-CM, ICD-10-PCS, CPT, and HCPCS.
- Interpret coding guidelines for accurate code assignment.
- Consider the importance of documentation in code assignment and its effect on reimbursement.
- Align conduct with AHIMA's Standards of Ethical Coding and the Company's Code of Ethics and Business Conduct, and support the Company's Ethics and Compliance Program.
- Comply with internal policies and procedures.
- Participate in company-provided training and education.
- Maintain at least one AAPC or AHIMA credential.
- Comply with privacy and security rules and protect company confidential information, including Personal Health Information.
- Maintain required productivity, accuracy, and quality levels.
- Perform other duties as assigned by a Leadership Team Member.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
