Medical Coder (Profee)

Where Excellence is Recognized

At RSi, we've proudly served healthcare providers for over 20 years, earning recognition as a "Best in KLAS" revenue cycle management firm and a USA Today Top 100 Workplace. Our reputation is built on delivering exceptional financial results for healthcare providers—and an unbeatable work culture for our team.

Your Role

The Profee Medical Coder is responsible for accurately coding medical records for inpatient hospital services, ensuring that all coding is in compliance with regulatory requirements and supports the organization’s revenue cycle goals. This role involves reviewing clinical documentation, assigning appropriate ICD-10, CPT, and HCPCS codes, and working closely with healthcare providers to clarify diagnoses and procedures as necessary.

What You'll Do

• Review clinical documentation from physician and hospital services to assign accurate ICD-10, ICD-10 PCS, CPT, and HCPCS codes for diagnoses, procedures, and services.
• Ensure that coding practices comply with federal, state, and local regulations, as well as payer-specific guidelines.
• Work with healthcare providers to clarify ambiguous or conflicting documentation, ensuring accurate and complete coding.
• Enter and validate coded data in the electronic health record (EHR) and billing systems.
• Perform coding audits to ensure accuracy and compliance with coding standards and regulations.
• Identify and report any coding discrepancies or issues to the Coding Manager or Medical Coding Director.
• Stay current with coding updates, guidelines, and payer requirements to ensure ongoing compliance.
• Participate in continuing education and training to maintain coding certifications and stay informed of industry changes.
• Collaborate with clinical staff, physicians, and other healthcare professionals to ensure accurate coding and documentation practices.
• Provide feedback and education to providers on documentation improvement and coding best practices.
• Assist with resolving coding-related billing issues, denials, and rejections in collaboration with the billing and revenue cycle teams.
• Ensure timely and accurate entry of coded data into the EHR and other relevant systems.
• Generate coding reports as needed for management, audit, or quality improvement purposes.
• Participate in special coding projects or assignments as directed by management.
• Perform other related duties as assigned.

What We're Looking For

• A high school diploma or equivalent is required.
• An associate’s degree in Health Information Management, Nursing, or a related field is preferred.
• A certification as a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) is required.
• A minimum of 1 year of experience in profee inpatient medical coding is preferred.
• A minimum of 2-5 years of experience in profee medical coding, with experience in both physician and/or hospital coding is preferred.
• Demonstrated knowledge of ICD-10, CPT, and HCPCS coding systems is required.
• Experience in coding for a variety of medical specialties and service lines, including complex cases is preferred.
• Proficiency in using coding software and electronic health record (EHR) systems is required.
• A strong understanding of medical terminology, anatomy, and physiology is essential.
• An excellent attention to detail and accuracy in coding and data entry are required.
• The ability to work independently and manage multiple priorities in a fast-paced environment is important.
• Strong communication skills, with the ability to collaborate effectively with healthcare providers and other team members, are necessary.
• A commitment to ongoing education and professional development to maintain coding certifications and stay current with industry standards is required.
• The ability to work in a dynamic healthcare environment with a focus on accuracy, compliance, and efficiency is crucial.
• A strong ethical standard and commitment to maintaining patient confidentiality and data security are expected.

Why You'll Love RSi

• Competitive pay with ample opportunities for professional growth.
• A fully remote position with a stable Monday–Friday schedule.
• A collaborative, performance-driven environment with expert leadership.
• Mission-driven work supporting essential healthcare services.
• Recognition as a nationally respected leader in healthcare revenue management.
• Physical requirements: comfortable working at a computer for extended periods, occasional lifting up to 15 pounds.