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Capital Health

Professional Coding and Documentation Improvement Specialist - FT - Day - Physician Professional Coders Remote (NJ, PA, AL)

RemoteUnited States only
Published
Experience
Senior
Employment
Full-time
Company size
Enterprise
$29.27–$38.25/hr
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No BS summary

Remote professional physician coder for documentation improvement. Requires CPC or CCS‑P, 2+ years coding experience, ICD‑10/CPT/HCPCS knowledge. Candidates must reside in New Jersey, Pennsylvania, or Alabama and work full-time (40 hrs/week).

Core skills

Physician coding (CPT / E&M)

Required skills

ICD-10-CMCPTHCPCSMicrosoft OutlookMicrosoft WordMicrosoft ExcelMicrosoft PowerPointEMR systemsMedical TerminologyAnatomy and PhysiologyPathophysiology

Optional skills

Associate's degree in health information management

What you'll do

  • Reviews medical record documentation for accurate assignment and support of diagnosis, CPT, and E&M codes.
  • Monitors provider selected E&M codes to ensure documentation supports medical necessity, code specificity, and compliance.
  • Develops and delivers education material to promote clear, accurate and complete documentation and compliance with professional coding standards.
  • Meets or exceeds departmental accuracy and productivity standards.
  • Communicates documentation opportunities and monitoring results in a clear, constructive, and provider-friendly manner.
  • Attends hospital and medical staff meetings to respond to documentation related issues.
  • Partners with revenue cycle teams to resolve complex coding-related issues.
  • Supports professional coders with pre-bill edits as needed.
  • Facilitates change processes required to capture needed documentation on EMR templates.
  • Assists in appeals process resulting from third party reviews.
  • Acts as a subject matter expert for professional coding and documentation improvement questions.
  • Performs provider feedback and education on proper documentation to support code level selections.
  • Identifies and reports recurring coding and documentation improvement areas to leadership.
  • Reviews and responds to requests for coding and documentation education.
  • Performs all other duties as assigned.

What they require

  • High School Diploma or equivalent.
  • Associate's degree in health information management preferred.
  • Certified Professional Coder (CPC) or Certified Coding Specialist-Physician-based (CCS-P) required.
  • Physician coding and Training certification.
  • Two years’ experience in professional coding role; monitoring and education experience preferred.
  • ICD-10-CM, CPT, CM, and HCPCS coding experience.
  • Excellent verbal and written communication skills.
  • Knowledge of pathophysiology and disease processes.
  • Strong knowledge of industry guidelines and laws for physician coding and reimbursement.
  • Possesses research and analysis skills.
  • Ability to develop, implement, deliver, and assess coding education plans to individual providers or provider groups.
  • Ability to work in environment using multiple EMR systems.

Benefits

  • Medical Plan
  • Prescription drug coverage & In-House Employee Pharmacy
  • Dental Plan
  • Vision Plan
  • Flexible Spending Account (FSA) - Healthcare
  • FSA - Dependent Care
  • Retirement Savings and Investment Plan
  • Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
  • Supplemental Group Term Life & AD&D Insurance
  • Long Term Disability (LTD)
  • Short Term Disability (STD)
  • Employee Assistance Program
  • Commuter Transit
  • Commuter Parking
  • Voluntary Life Insurances (Employee, Spouse, Child)
  • Voluntary Legal Services
  • Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
  • Voluntary Identity Theft Insurance
  • Voluntary Pet Insurance
  • Paid Time-Off Program

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

HealthcareEnterprise
$29.27–$38.25/hr