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Community Health SystemsPosted 3 weeks ago

Remote Physician Profee Coding Specialist - NICU and Hospital Medicine ICU

RemoteUnited States

Full TimeSenior LevelDoctorate Or Professional DegreeEnterprise

Job Summary

Review, analyze, and assign accurate CPT, HCPCS, and ICD-10 codes for professional fee services in NICU and hospital ICU settings. Ensure proper sequencing, modifier use, and place-of-service coding while maintaining compliance with governmental regulations, payer policies, and NCCI edits. Perform coding audits, quality reviews, and claim scrubbing in Athena Collector to identify documentation gaps and resolve holds. Collaborate with physicians and revenue cycle teams to clarify documentation and escalate issues for provider education. Maintain strict confidentiality of patient and financial data. Requires 2-4 years of physician coding experience, CPC or CCS certification, and proficiency with EHR systems.

Required Qualifications

  • H.S. Diploma or GED
  • 2-4 years of experience in physician coding, professional fee coding, or medical billing
  • Certified Coder-AHIMA or AAPC (CPC)
  • CCS-Certified Coding Specialist (CCS-P)

Desired Qualifications

  • Associate Degree in Health Information Management, Healthcare Administration, or a related field
  • Experience with multiple specialties, surgical coding, or high-volume professional fee coding
  • Certified Evaluation and Management Coder (CEMC)
  • Registered Health Information Technician (RHIT)

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