The Professional Coder will review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to ensure compliance with federal and state regulations and insurance carrier guidelines. This role performs accurate and compliant coding of CPT and ICD-10 diagnosis codes.
Responsibilities include reviewing and validating CPT, ICD-10 diagnosis codes, HCPCS, modifiers, and charges; understanding National Correct Coding Initiative (NCCI) edits and relative value units; meeting productivity and quality standards; reviewing denials and responding timely; performing audits; assisting in application testing for coding workflows; participating in meetings; pursuing professional development through webinars and conferences; collaborating with interdisciplinary teams; staying informed on insurance products and federal/state mandates; and interacting with providers to support accurate documentation and coding.
Qualifications:
- High School Diploma/G.E.D. required
- 1-3 years experience in provider professional fee coding preferred
- Working knowledge of provider professional fee coding and charge processing
- Proficiency in Microsoft Word and Excel
- Excellent verbal and written communication skills
- CPC, CCA, CCS, COC, RHIT, RHIA, or other coding credential through AHIMA or AAPC in good standing
This position is remote and requires access to sensitive patient and organizational information with strict adherence to HIPAA and privacy regulations.
- High School Diploma/G.E.D.
- 1-3 years experience in provider professional fee coding preferred
- Working knowledge of provider professional fee coding and charge processing
- Proficiency in Microsoft Word and Excel
- CPC, CCA, CCS, COC, RHIT, RHIA, or equivalent coding credential through AHIMA or AAPC and in good standing
- Excellent verbal and written communication skills
Location
New York, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$59,066 - $88,599
Remote work allowed
Yes
Posted
1 month ago