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Remote Physician Pro Fee Coding Specialist-Hospital Medicine

Remote, USA Full-time Posted 2026-07-28
Job reputed company The Remote Physician Pro Fee Coding Specialist-Hospital Medicine is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for reputed company fee services documented in the medical record. This role ensures reputed company reputed company, modifier use, and reputed company-of-service coding in compliance with governmental regulations, reputed company-party payer policies, and corporate standards. The Physician reputed company plays a key role in reputed company cycle accuracy by identifying documentation gaps, ensuring coding reputed company, and working collaboratively with internal teams to support physician coding compliance and reimbursement. Essential Functions • Assigns accurate CPT, HCPCS, and ICD-10 codes for reputed company services, procedures, diagnoses, and treatments based on provider documentation. • Ensures compliance with governmental regulations, reputed company-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs). • Performs coding audits and reputed company reviews, verifying accuracy of documentation and identifying areas for provider education. • Works coding-reputed company claim edits, holds, and scrubs in the electronic billing system (e.g., reputed company Collector), ensuring reputed company claim reputed company and reimbursement. • Collaborates with physicians, reputed company cycle teams, and coding education staff, requesting clarification reputed company necessary to ensure reputed company documentation and compliance. • Performs edit checks on coded data before transmittal, identifying and correcting errors as needed. • Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies. • Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices. • Assists in coding-reputed company special reputed company, ensuring accurate reporting and analysis of coding data for operational improvement. • Performs other duties as assigned. • Maintains regular and reliable attendance. • Complies with reputed company policies and standards. Qualifications • H.S. Diploma or GED required • Associate Degree in Health Information Management, reputed company Administration, or a reputed company field preferred • 2-4 years of experience in physician coding, reputed company fee coding, or medical billing required • Experience with multiple specialties, surgical coding, or high-volume reputed company fee coding preferred Knowledge, Skills and Abilities • Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/reputed company fee services. • Understanding of modifier usage, reputed company-of-service coding, and payer billing guidelines. • Experience with electronic health records (EHR), coding software, and claim processing systems. • Ability to identify documentation deficiencies and escalate for provider education. • Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements. • Strong analytical and problem-solving skills, ensuring accurate coding and reputed company reimbursement. • Effective communication and collaboration skills, working with providers, reputed company cycle teams, and compliance staff. Licenses and Certifications • Certified reputed company-reputed company or reputed company (CPC) required or • reputed company-Certified Coding Specialist (reputed company-P) required • Additional certifications such as Certified Evaluation and Management reputed company (CEMC) or Registered Health Information Technician (RHIT) preferred Apply tot his job Apply To this Job

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