Capital Health is a regional leader in progressive, quality patient care with investments in exceptional physicians, nurses, staff, and advanced technology. This position serves as the main resource for communication with physicians, nurse practitioners, and physician assistants regarding documentation and procedure coding feedback. It involves direct supervision and monitoring of professional coding staff to ensure compliance with industry and government regulations. The role facilitates compliant coding of professional procedural services using ICD10-CM and CPT coding for all employed physicians and practitioners of Capital Health Medical Group (CHMG). Responsibilities include supervising professional coding staff productivity, monitoring claim edits for timely submission and payment, and coordinating education and correspondence regarding procedural coding.
This is a remote position available to candidates in New Jersey, Pennsylvania, or Alabama, with a full-time schedule of 40 hours per week.
Requirements
- High school diploma or equivalent
- Certified Professional Coder (CPC) or Certified Coding Specialist-Physician-based (CCS-P) certification required
- Minimum of three years professional procedure coding experience
- Knowledge of industry guidelines, laws, and regulations for professional coding
- Proficiency with Microsoft applications (Outlook, Word, Excel, PowerPoint, Access)
- Ability to research, analyze, educate coding staff, and work independently
- Strong communication and organizational skills
Duties
- Provide supervision, support, education, and direction to physician fee coding staff
- Perform internal quality assessments on professional coding to ensure compliance and accuracy
- Communicate with CHMG members for feedback and education to ensure accurate documentation
- Monitor and educate staff to maintain revenue integrity for procedural services
- Supervise appeals processes related to third-party payers
- Research and implement corrective measures for coding and reimbursement issues
- Generate reports on coding compliance, quality assurance, and performance improvements
- Promote continuing education for coding staff
- Analyze billing system issues to optimize coding accuracy
Benefits
- Medical, Dental, and Vision Plans
- Prescription drug coverage and in-house employee pharmacy
- Flexible Spending Accounts (Healthcare and Dependent Care)
- Retirement Savings and Investment Plan
- Group Term Life and AD&D Insurance (Basic and Supplemental)
- Short and Long Term Disability Benefits
- Employee Assistance Program
- Commuter Transit and Parking benefits
- Various voluntary insurance plans (Life, Legal, Accident, Critical Illness, Hospital Indemnity, Identity Theft, Pet)
- Paid Time-Off Program
The listed salary range is $67,225.60 to $87,838.40 annually. Actual compensation may vary based on location, experience, education, and other factors.
- High school diploma or equivalent
- CPC or CCS-P certification
- Minimum three years professional coding experience
- Strong knowledge of medical coding regulations and guidelines
- Proficient with Microsoft Office suite
- Excellent interpersonal, communication, and organizational skills
- Ability to work independently and supervise staff
- Knowledge of medical terminology, anatomy, physiology, or pathophysiology
- Medical, Dental, and Vision insurance
- Prescription drug coverage
- Flexible Spending Accounts
- Retirement Savings Plan
- Life and Disability insurance
- Employee Assistance Program
- Commuter benefits
- Voluntary insurance options
- Paid time off
Location
N/A
Employment Type
Full-time
Experience Level
Senior
Salary Range
$67,225 - $87,838
Remote work allowed
Yes
Posted
2 weeks ago