Professional Coder III AHWFB
About The Position
The Professional Coder III is an experienced coding role responsible for accurate and timely coding of hospital-based professional services across inpatient, outpatient, ambulatory, and specialty care settings. The position is remote with flexible first-shift hours and is scheduled for 40 hours per week. The coder reviews medical records and assigns diagnosis, procedure, facility service, and modifier codes in accordance with applicable payer and Teaching Physician guidelines. The role also resolves coding-related pending charges and claim denials, collaborates with providers and revenue cycle, compliance, and coding teams, and provides coding guidance and education. Additional responsibilities include supporting audits, quality initiatives, research, and special projects, as well as maintaining continuing education and national coding certification.
Requirements
- Graduate of an accredited medical coding program.
- At least 3 years of medical coding experience in a similar environment.
- Current CPC or CCS certification.
- Experience coding physician professional services.
- Knowledge of Medicare Teaching Physician Rules and provider-based facility services.
- Strong communication skills.
- Ability to meet established coding quality and productivity standards.
Nice To Haves
- Experience coding physician professional services in a teaching environment.
Responsibilities
- Review medical records and accurately assign ICD diagnosis codes, CPT codes, facility service codes, and modifiers.
- Apply Medicare, Medicaid, TriCare, commercial payer, and Teaching Physician coding guidelines.
- Resolve coding-related pending charges and claim denials.
- Partner with providers, Revenue Cycle, Compliance, and coding team members to resolve documentation and billing questions.
- Provide coding guidance and education to providers and less experienced coders.
- Support coding audits, quality initiatives, research, and special projects.
- Maintain required continuing education and national coding certification.
Benefits
- Paid Time Off programs
- Medical, dental, vision, life, and short- and long-term disability benefits
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match
- Financial wellness programs
- Educational Assistance Program
- Competitive compensation
- Premium pay such as shift and on-call pay, based on the teammate's job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
- Career development programs
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
