GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations optimize operations, improve financial performance, maintain compliance, and enhance the patient experience. Recognized as a KLAS® Top Performer, GeBBS combines innovative technology, industry expertise, and a commitment to excellence to deliver measurable results for clients across the healthcare industry.
The Professional Coder is responsible for accurately assigning ICD-10-CM, CPT, HCPCS Level II, and applicable modifiers for physician and other qualified healthcare professional services. This role supports coding accuracy, documentation integrity, and compliance with official coding guidelines, regulatory requirements, and payer-specific policies. The coder reviews clinical documentation to capture diagnoses, procedures, and services performed in outpatient and professional settings, helping support appropriate reimbursement, minimize claim denials, and maintain revenue integrity and data accuracy.
Qualifications
- Advanced knowledge of ICD-10-CM, CPT, HCPCS Level II, and modifier assignment for physician and other qualified healthcare professional services
- Strong understanding of professional coding guidelines, including CPT Assistant, Coding Clinic guidance, and AMA/CMS documentation standards
- Proficiency in applying Official Coding Guidelines and payer-specific policies for outpatient and professional services
- Knowledge of medical terminology, anatomy, physiology, pharmacology, and disease processes to support accurate code assignment
- Ability to accurately interpret clinical documentation to assign diagnoses, procedures, and services at the professional level
- Experience applying NCCI edits and payer-specific claim editing rules to ensure compliant coding and reduce denials
- Understanding of medical decision-making (MDM) concepts and documentation requirements supporting professional E/M services, if applicable to role scope
- Ability to identify coding discrepancies, documentation gaps, and claim issues impacting reimbursement and compliance
- Ability to research coding questions using authoritative resources such as CMS guidelines, CPT Assistant, Coding Clinic, and payer policies
Requirements
- Minimum of 2–4 years of professional (physician-based) coding experience in a multi-specialty, hospital-based physician group, or outpatient environment
- Active certification from AHIMA or AAPC such as CPC, CCS, or RHIT
- EPIC experience required
- Ability to pass a client coding assessment with a score of 80% or higher
- Ability to maintain required charts per hour (CPH) and accuracy standards
- US-based candidates only
Location
N/A
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago