CPC Coder
$41,600–$52,000 year
On-siteHouston, Texas, United States
Job Summary
Accurately assign ICD-10-CM, CPT, and HCPCS Level II codes for hospital and outpatient encounters while reviewing provider documentation for completeness and compliance. Apply correct modifiers and sequencing for multi-specialty procedures across cardiology, urology, dermatology, general surgery, and pulmonology. Identify documentation gaps, communicate clarification requests, and ensure accurate E/M level selection. Maintain adherence to CMS, NCCI edits, and payer guidelines, including HCC/RAF capture and internal audits. Collaborate with providers to improve documentation quality and support billing teams in claim resolution. Maintain ≥95% coding accuracy and meet established productivity standards. Current AAPC or AHIMA certification and 2+ years of multi-specialty coding experience required.
Required Qualifications
- Current certification through AAPC (CPC, CPC-H, or equivalent) or AHIMA (CCS, CCS-P)
- Minimum 2+ years of hands-on coding experience
- Experience coding both hospital and outpatient clinic encounters
- Multi-specialty coding experience (cardiology, urology, dermatology, general surgery, pulmonology)
- Strong knowledge of ICD-10-CM
- Strong knowledge of CPT
- Strong knowledge of HCPCS
- Strong knowledge of NCCI edits
- Strong knowledge of E/M 2021+ guidelines
- Strong knowledge of HCC/RAF risk adjustment concepts
- Experience with EMR systems (eCW preferred but not required)
Desired Qualifications
- Experience in high-volume practice settings
- Audit experience or participation in compliance reviews
- Familiarity with V28 risk adjustment updates
- Strong understanding of modifier application and surgical global periods
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