Professional Fee Coder (ProFee) (Remote | FT, PT, or PRN)

Core Responsibilities

• Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes
• Ensure documentation supports coded services and identify discrepancies
• Apply appropriate modifiers, NCCI edits, and payer-specific coding rules
• Maintain ≥95% coding accuracy and meet established productivity standards
• Identify documentation gaps and escalate for clarification when needed
• Participate in quality reviews, audits, and ongoing coding education

Minimum Qualifications

• Credential: CPC, CCS-P, RHIA, or RHIT (active and in good standing)
• Experience: Minimum 2–3+ years professional fee coding experience
• Experience in hospital-based or physician practice environments preferred
• Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, and NCCI edits
• Familiarity with payer policies and coding guidelines
• Ability to work independently in a remote environment
• High attention to detail with consistent quality performance
• Work Model: 100% remote, independent, production-focused environment with defined quality expectations
• Collaboration with coding, audit, and client teams

Specialty Alignment

• Surgical Specialties: Cardiothoracic Surgery, Vascular Surgery, General Surgery, Orthopedic Surgery, Neurosurgery, Surgical Oncology, Plastics / Reconstructive, Colorectal, Urology, ENT
• Medical & E/M-Based Specialties: Internal Medicine / Family Medicine, Cardiology (E&M and/or procedural), Gastroenterology, Pulmonary, Nephrology, Endocrinology, Infectious Disease, Rheumatology, Neurology, Psychiatry
• Diagnostics & Ancillary Specialties: Radiology, Pathology, Anesthesiology, Radiation Oncology

Additional Expectations

• Strong experience reviewing operative reports and procedural documentation
• Advanced modifier application (e.g., co-surgeon, assistant, multiple procedures)
• Deep understanding of NCCI edits and bundling rules
• Ability to independently code complex surgical cases
• Strong knowledge of E&M leveling and documentation requirements
• Accurate capture of chronic conditions and medical necessity
• Ability to validate completeness and appropriateness of provider documentation
• Understanding of specialty-specific coding structures
• Accurate use of modifiers specific to professional services (e.g., component billing)
• Consistency in applying coding conventions across high-volume workflows

General Client Expectations

• Ability to code independently within assigned specialty or specialties
• Consistent delivery of ≥95% coding quality and aligned productivity standards
• Adaptability to varying client workflows, systems, and documentation practices
• Effective communication with internal teams and client stakeholders

Pay

Details not specified

Schedule

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Benefits

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