Coder, ProFee
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LocationOvation Healthcare - Remote CST
Work moderemote · United States
SeniorityMid
Company size501–1,000 people
PostedSep 14, 2026 · 1mo ago
Verified live3d ago
At a glanceSummarised by Seekless from the posting.
Assigns ICD-10-CM codes, and CPT/HCPCS codes for various specialty service accounts
Abstracts key data elements required for billing, regulatory agencies, and other databases
Reviews records for clinical pertinence and documentation to support accurate facility and provider-based charges
Communicates with providers for clarification of documentation
Reviews and resolves claim edits related to emergency department encounters
Assists with resolution of simple visit coding errors
Demonstrates courtesy and professionalism
Skill in prioritizing and performing duties within a system with frequently changing assignments
Ability to impart knowledge of procedures and techniques
Thorough working knowledge of ICD-10-CM and CPT coding systems
Thorough working knowledge of hospital information system, electronic medical record systems, and encoder
Working knowledge of standards for chart completion
Maintains Continuing Education credits in accordance with AHIMA and/or AAPC requirements based upon certification(s)
Performs qualitative analysis of records in accordance with regulatory standards and coding requirements
Working knowledge of medical-legal rules and regulations regarding confidentiality and release of medical information
Must be comfortable working with AR teams to resolve issues
Must be able to pass a coding assessment
Must be proficient in Microsoft Office, including Outlook, Excel, and Teams
Ability to multi-task and have excellent communication skills
Must meet and maintain a 95% quality accuracy rate and productivity standards
Must have experience working in a remote environment
Maintains patient confidentiality
Must maintain total confidentiality of all patient records
Skills
Microsoft Office
Outlook
Excel
Teams
ICD-10-CM
CPT
HCPCS
electronic medical record systems
encoder
Duties and Responsibilities:
•
Assigns ICD-10-CM codes, and CPT/HCPCS codes for various specialty service accounts, including but not limited to diagnoses, provider level evaluation & management (E/M) charges, and additional CPT-4 procedures.
•
Abstracts key data elements required for billing, regulatory agencies, and other databases.
•
Reviews records for clinical pertinence and documentation to support accurate facility and provider-based charges for services performed during the encounter.
•
Communicates with providers for clarification of documentation to ensure appropriate assignment of diagnoses, procedures, and/or facility and provider evaluation/management (E/M) levels.
•
Reviews and resolves claim edits related to emergency department encounters to ensure compliant billing, including but not limited to medical necessity and NCCI/CCI edits.
•
Assists with resolution of simple visit coding errors related to other outpatient visits as needed.
•
Demonstrates courtesy and professionalism through interaction, appearance, attitude, and written and oral communications with visitors, co-workers, physicians, and other hospital personnel as to represent the Medical Records Services as a high-quality service area of the Hospitals.
•
Maintains patient confidentiality as required by Hospitals/departmental policy and industry/legal standards.
•
Acknowledges and supports Hospitals defined goals and approach to patient care; attends regular training sessions to improve patient and customer communications.
Knowledge, Skills, and Abilities:
•
Skill in prioritizing and performing a variety of duties within a system that has frequently changing assignments, priorities, and deadlines.
•
Ability to impart knowledge of procedures and techniques.
•
Thorough working knowledge of ICD-10-CM and CPT coding systems, and federal/state regulations regarding reimbursement.
•
Thorough working knowledge of the hospital information system, electronic medical record systems, and encoder.
•
Working knowledge of standards for chart completion.
•
Maintains Continuing Education credits in accordance with the American Health Information Management Association’s and/or American Academy of Professional Coders’ requirements based upon certification(s).
•
Performs qualitative analysis of records in accordance with regulatory standards and coding requirements using CPT/HCPCS and ICD-10-CM guidelines.
•
Working knowledge of medical-legal rules and regulations that govern the confidentiality and release of medical information with the ability to interpret and implement the standards.
•
Must maintain total confidentiality of all patient records.
•
Must be comfortable working with AR teams to resolve issues.
•
Must be able to pass a coding assessment.
•
Must be proficient in Microsoft Office, including Outlook, Excel, and Teams.
•
Ability to multi-task and have excellent communication skills.
•
Must meet and maintain a 95% quality accuracy rate and productivity standards.
•
Must have experience working in a remote environment.
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