At Alteva RCM, the Professional Coder is responsible for accurately reviewing clinical documentation and assigning diagnosis codes, CPT codes, and other required codes for professional services across assigned specialties. The role applies official coding guidelines, regulatory requirements, and payer-specific rules to ensure accurate code selection, clean claim submission, and timely reimbursement.
This position supports revenue cycle performance, reduces claim denials and audit risk, and helps maintain regulatory compliance and financial health.
Key Responsibilities
- Review clinical documentation and assign diagnosis and procedure codes for professional services in accordance with official coding guidance and payer requirements
- Code assigned tickets accurately and on time to support clean claim submission and appropriate reimbursement
- Research and resolve coding scenarios, including payer-specific edits and documentation questions, using available resources and tools
- Meet daily productivity targets and maintain consistent coding quality
- Communicate coding and documentation issues, trends, and potential risks to leadership
- Escalate complex scenarios or unclear documentation through established workflows
- Maintain current knowledge of coding guidelines and payer policies
- Participate in department meetings and ongoing education
- Perform other duties as assigned by leadership
Performance Metrics
- Complete coding for all assigned cases within a 48-hour period
- Meet daily productivity targets
- Maintain a coding accuracy rate of 95% or higher
- Ensure timely escalation and quality documentation
- Keep credentials current and comply with continuing education requirements
Requirements & Qualifications
Qualifications
- Successful completion of an AHIMA or AAPC-approved coding program with an active credential in good standing, such as CPC or CCS; CPC preferred
- Minimum of 3 years of recent hands-on physician/professional services coding experience across one or more specialties
- Strong knowledge of anatomy and physiology, medical terminology, CPT, ICD-10-CM, modifiers, disease processes, and applicable Medicare/Medicaid policies for professional services
- High school diploma or equivalent required; associate's or bachelor's degree preferred
- Proficiency with Microsoft Office applications, including Excel, Word, and Outlook
- Ability to multitask, prioritize workload, and meet deadlines in a fast-paced environment
- Strong communication and interpersonal skills
- Experience coding professional services across multiple specialties and service lines, such as surgical, anesthesia, and E/M, preferred
- Experience using encoder tools and queue-based workflow systems preferred
- Prior participation in coding audits, denial prevention initiatives, or documentation improvement efforts preferred
- Strong understanding of HIPAA regulations and healthcare privacy laws
- Excellent attention to detail and organizational skills
- Ability to work independently while contributing to a team-oriented environment
- Strong problem-solving skills with a proactive, solution-driven approach
Benefits & Perks
Benefits and Perks
- Health insurance
- Dental insurance
- Vision insurance
- Employee assistance plan
- Paid family leave
- Short-term disability
- Life insurance
- 401(k) with employer match
- Flexible spending accounts
- Employee discount program
- Employee referral program
Location
N/A
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$60,000 - $80,000
Remote work allowed
Yes
Posted
1 week ago
Similar Jobs
Browse More Jobs