Job Description:

• Independently perform complex, specialty-specific professional fee coding (CPT/HCPCS and ICD-10-CM) for physician services rendered in both office and hospital settings, ensuring expert application of modifiers and E/M guidelines
• Perform entry-level facility coding for simple outpatient encounters (e.g., diagnostic imaging, labs) and basic inpatient services (e.g., uncomplicated admissions, short stays) using ICD-10-CM and ICD-10-PCS, where applicable
• Ensure all coding adheres strictly to official guidelines (e.g., provided by AAPC or AHIMA), federal regulations (CMS), and organizational compliance standards
• Identify the need for formal clinical queries for documentation clarification when necessary for professional or facility records
• Maintain high accuracy and productivity standards appropriate to the complexity of the assigned workload
• May provide informal guidance to new coding staff on professional coding nuances

Requirements:

• An active coding certification issued by the American Academy of Coders (AAPC) OR American Health Information Management Association (AHIMA); Dual certifications, preferred
• High School Diploma or Equivalent required
• Completion of an accredited medical coding or HIM program (or equivalent experience)
• Minimum of 3-5 years of direct professional fee coding experience in a multi-specialty environment is required
• Experience with professional procedural coding (e.g., surgical, interventional procedures) is preferred
• Experience with Epic or similar electronic health record systems is required
• Proficient knowledge of medical terminology, anatomy, and pathophysiology
• Advanced proficiency in CPT/HCPCS and ICD-10-CM/PCS coding systems
• Basic understanding of facility payment methodologies (MS-DRGs) as they apply to simple encounters
• Strong analytical skills, attention to detail, and ability to context-switch between different coding guidelines
• Ability to work independently, manage a varied workload, and meet deadlines in a fast-paced environment.

Benefits:

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program