Revenue Cycle Coder (CPC) - Remote

Proliance Surgeons•Seattle, WA

1d•Remote

About The Position

The remote Revenue Cycle Coder supports the revenue cycle team, which connects patients, insurers or bill payers, and physicians. Accuracy and efficiency in this role help maintain funding for the organization’s services and support its mission to provide excellent surgical and clinical care. The position reviews medical records and applies appropriate diagnosis and procedure codes, supports providers with coding and documentation questions, monitors payer requirements, and helps resolve coding-related claim issues. Prior orthopedic coding experience, particularly in high-volume orthopedic and surgical clinics, is strongly preferred. This is a full-time position scheduled Monday through Friday, 8:00 a.m. to 5:00 p.m. Pacific Time. Remote applicants must reside in Washington, Florida, North Carolina, Arizona, Idaho, Ohio, Oregon, Tennessee, Texas, or Rhode Island. Work may be performed in an office and clinical environment. The role requires prolonged sitting, occasional standing and walking, bending and stretching, and use of a telephone and computer. Corrected vision and hearing within normal range are required. The role also requires manual dexterity for computer keyboard use and occasionally lifting and carrying items weighing up to 40 pounds. Work may involve stressful conditions or irregular hours.

Requirements

At least 3 years of coding or medical billing experience.
Professional coder certification with credentialing from AHIMA and/or AAPC, maintained annually.
ICD-10 certification and/or extensive work experience.
Strong understanding of physiology, medical terminology, and anatomy.
Excellent attention to detail.
Excellent written and verbal communication skills.
Self-motivated team player able to multitask and prioritize.
Strong organization and interpersonal communication skills.
Strong computer skills, including experience with Microsoft Excel, Outlook, and Adobe.
Working experience navigating EHRs to abstract documentation.
For remote work, reside in Washington, Florida, North Carolina, Arizona, Idaho, Ohio, Oregon, Tennessee, Texas, or Rhode Island.

Nice To Haves

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

Responsibilities

Review, audit, and interpret medical record documentation to identify pertinent diagnoses and procedures and assign correct 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 questions about coding and documentation guidelines.
Provide ongoing feedback based on coding-documentation observations, identify education opportunities, and communicate trends to leaders.
Keep current on carrier policies and guidelines to ensure coded services meet Medicare, National Correct Coding Initiative (NCCI), and payer-specific guidelines.
Review and resolve suspended charges resulting from claim edits or payer rejections related to coding.
Review, correct, and appeal coding-related denial trends, sharing findings with leadership and team members to support root-cause analysis and continuous process improvement.
Correct and/or appeal denied claims resulting from coding errors.
Perform other duties as assigned.