Coder- Cardiology and Orthopedics

About the Company

Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics aligning with UHS acute care facilities, and provides select services for the Behavioral Health division of UHS. Operating in 11 markets across six states and the District of Columbia, IPM is dedicated to improving the health and wellness of the communities it serves.

About the Role

The Coder provides coding services and support to assigned IPM Markets/Billing Entities using clinical documentation from multiple electronic health record (EHR) systems. This role applies medical terminology, anatomy, CPT-4, and ICD-10 coding expertise to ensure accurate and timely coding. The successful candidate will meet or exceed productivity and quality targets, collaborate with the Billing Department, and communicate effectively with providers and market staff to minimize coding delays.

Candidates must reside in one of the following states: Pennsylvania, Florida, New Jersey, Delaware, Texas, or Nevada.

Responsibilities

• Provide accurate and timely coding services using clinical documentation from multiple EHR systems.
• Meet or exceed established productivity and quality targets set by the Coding Manager.
• Perform reconciliation to ensure all charges are captured and collaborate with Charge Capture and Insurance Billing Operations to ensure accuracy in charge posting to the Practice Management System (PMS).
• Communicate with providers and market staff to ensure medical record documentation is completed and signed, minimizing lag days and meeting team goals.
• Educate providers on clinical documentation requirements to support coding and capture all charge possibilities.
• Notify appropriate CBO individuals to review coding for new procedures and initiate PMS setup, including fees.
• Maintain knowledge of CPT-4 and ICD-10 codes, government and third-party billing guidelines, AMA, AAP, CMS, and coding policies.
• Meet continuing education requirements to maintain AAPC CPC certification.
• Escalate coding trends that may negatively impact productivity, quality, or revenue to mitigate claim denials and enhance front-end claim edits.
• Participate in team meetings to propose process improvements and maximize performance opportunities.

Requirements

• High School Diploma or GED required; Technical School, 2-year College, or Associate Degree preferred.
• Minimum of 3-5 years of experience in healthcare billing, health insurance, coding, or equivalent operations.
• Experience with cardiology and orthopedics coding required.
• Primary care provider (PCP) or internal medicine experience required.
• Denial management experience required.
• AAPC CPC Certification required.
• Proficiency in CPT-4 and ICD-10 codes, government, managed care, and third-party billing guidelines.
• Understanding of the revenue cycle and its components preferred.
• Strong organizational skills, attention to detail, and problem-solving ability.
• Results-oriented with a track record of working effectively in high-performing teams.
• Customer-centric and service-oriented approach.
• Proficiency in Microsoft Office; experience with billing software (e.g., Cerner, Epic, IDX) highly desirable.

Benefits

• Competitive compensation and generous paid time off.
• Excellent medical, dental, vision, and prescription drug plans.
• 401(K) with company match.