Revenue Cycle Coder (CPC) - Remote

Proliance Surgeons•Seattle, WA

2d•$25 - $44•Remote

About The Position

The remote Revenue Cycle Coder supports Proliance Surgeons’ revenue cycle team by reviewing medical records and applying accurate diagnosis and procedure codes. The position’s accuracy and efficiency help maintain funding for services and support the organization’s surgical and clinical care. Prior orthopedic coding experience is strongly preferred, particularly experience supporting high-volume orthopedic and surgical clinics. The role is full-time, Monday through Friday, 8 a.m. to 5 p.m. Pacific Time. Applicants for remote work must reside in Washington, Florida, North Carolina, Arizona, Idaho, Ohio, Oregon, Tennessee, Texas, or Rhode Island.

Requirements

At least 3 years of coding or medical billing experience.
Professional coder certification credentialed through AHIMA and/or AAPC, maintained annually.
ICD-10 certification and/or extensive work experience.
Strong understanding of physiology, medical terminology, and anatomy.
Thorough attention to detail.
Excellent written and verbal communication skills.
Self-motivated team player able to multitask and prioritize.
Excellent organization and interpersonal communication skills.
Strong computer skills, including experience with Microsoft Excel, Outlook, and Adobe.
Experience navigating EHR systems to abstract documentation.

Nice To Haves

Orthopedic coding experience, particularly supporting high-volume orthopedic and surgical clinics.

Responsibilities

Review, audit, and interpret medical record documentation to identify diagnoses and procedures and assign appropriate ICD-10, CPT-4, and HCPCS codes in accordance with government and insurance regulations.
Use coding software and coding reference materials appropriately.
Follow up with providers when documentation is insufficient, missing, or unclear.
Assist providers with coding and documentation guideline questions.
Provide feedback based on coding documentation observations, identify education opportunities, and communicate trends to leaders.
Stay current on carrier policies and guidelines so coded services meet Medicare, NCCI, and payer-specific requirements.
Review and resolve suspended charges caused by claim edits or payer rejections related to coding.
Review, correct, and appeal coding-related denial trends; share findings with leadership and team members to support root-cause analysis and continuous process improvement.
Correct and/or appeal claims denied due to coding errors.
Perform other duties as assigned.