This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Professional Fee Coder (ProFee) is responsible for reviewing provider documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes for physician professional services. This role supports compliant coding, timely charge capture, and clean claim submission in accordance with AMA, CMS, and payer guidelines. - Review provider documentation and assign ICD-10-CM, CPT, HCPCS Level II codes, and applicable modifiers for professional fee services. - Select appropriate Evaluation and Management (E/M) levels based on current guidelines (MDM and/or time) and ensure documentation supports code selection. - Apply modifier and global surgery rules accurately (e.g., 25, 24, 57, 58, 59, 78, 79) and comply with NCCI edits and payer policies. - Ensure medical necessity and proper linkage of diagnoses to services; identify and resolve coding edits prior to claim submission when applicable. - Query providers for clarification when documentation is incomplete or ambiguous, following compliant query practices. - Meet established productivity, accuracy, and turnaround time standards to support billing and revenue cycle goals. - Collaborate with billing/denials teams to resolve coding-related rejections and provide supporting rationale for appeals as needed. - Maintain confidentiality and comply with HIPAA and organizational policies when handling protected health information. - Stay current with coding guideline updates, payer changes, and compliance requirements; complete required continuing education. - Participate in internal quality reviews and implement corrective actions to improve coding accuracy. Qualifications - 3+ years of recent professional fee (physician) coding experience; multi-specialty experience preferred. - Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, NCCI edits, and payer guidelines. - Experience applying current E/M coding guidelines and common professional fee compliance requirements. - Proficiency with EHR and encoder/coding tools (e.g., Epic, Cerner, 3M, Optum) and Microsoft Office. - Excellent attention to detail, analytical skills, and ability to manage multiple priorities. - Effective communication skills for provider/coder collaboration and documentation clarification. - Active coding certification required (CPC or CCS/CCA); CPMA or specialty credential is a plus. - Must be credentialed from AAPC or AHIMA, AAPC preferred. Requirements - 3-5 years of experience in professional (profee) medical coding auditing or compliance. Company Description

As a Medical Assistant, your role is to support the clinical team of RNs, NPs, PAs, and MDs in providing excellent member care through direct education, counseling, and clinical care to members. Our Company: FOLX Health exists to be the leading health and wellness platform for LGTBQIA care, providing end to end services, both virtually and in person, across the spectrum of community needs. We are the north star for innovation in the broader ecosystem by creating joyful, affirming healthcare on one's own terms and building community and access around those needs. Our Culture: Reliability: We show up for our members and each other in service of our mission. Transparency: We build trust by openly sharing our goals and progress. Access: We invest in our team by providing the tools and training needed to achieve individual goals. Agency: We trust our team to get their jobs done. What You’ll Do: - Manage incoming messages in our message center (Zendesk); route messages to appropriate recipients and answer questions as allowed by scope of practice - Ensure timely followup on messages in your personal queue - Contact pharmacies either proactively or by returning pharmacy voicemails with questions regarding prescriptions - Code and fill out insurance forms; manage a queue of prior authorization requests - Prep clinical charts ahead of member appointments - Follow up on issues with member IDs and addresses, missing documentation, past due account status, and lab location issues - Review PHQ/GAD surveys and follow up with members with high PHQ scores - Proactively reach out to members scheduling ADHD appointments to verify documentation - Prep replacement medication orders for meds that fail internal checks - Update and fill out patient medical records, including documenting medical history - Arrange lab services and communicate with labs to retrieve results when necessary - Collaborate across teams on clinical and operational workflows - Complete any forms or paperwork deemed necessary by members, schools, or healthcare entities - Support and participate in Quality Assurance activities - Create member education materials (library articles, short FAQ, etc) - Learn new tools as needed to help deliver ongoing value to members - Complete other duties as assigned - Maintenance of active MA certification What You’ll Bring: - Clinical experience and expertise serving the trans and queer communities - Ability to communicate clearly and compassionately with a wide variety of patients and coworkers - Dedication to the FOLX mission and Informed Consent model of care--where radical transparency, collaboration, and empowerment of the individual are of utmost priority - Desire to ensure all questions from a patient are answered completely, and patient is linked with appropriate resources and referrals if beyond our scope - Excellent decision-making skills and communication - Great organizational and time management skills that allow for timely completion of tasks and patient follow-up, especially important in a remote work environment - Demonstrated experience in working with diverse groups, including diversity in race, ethnicity, economic status, and educational background. Requirement for the role: - Active MA certification (through the American Association of Medical Assistants preferred) Salary: $60,000 (*please note that this position is non-exempt for California residents) We are proud to be an equal opportunity employer, and do not discriminate on the basis of race, color, ethnicity, national origin, religious affiliation, sex, gender identity, sexual orientation, disability, or any other legally protected status. Here, diversity and inclusion means accepting that everyone’s perspective can teach you something. We’re eager to learn. #LI-Remote Please note: There has been a recent increase in employment scams. FOLX posts all of our open positions on our careers page at www.folxhealth.com/careers and only contacts candidates from official "@folxhealth.com" email addresses.

Overview We have an exciting opportunity for a Certified Coding Specialist with experience in Pediatric Speciality Coding to join our team. Pediatrix Medical Group is a physician lead organization, and we are one of the nation’s largest providers of prenatal, neonatal and pediatric services. Talented business professionals from diverse backgrounds choose Pediatrix because we are an exciting and innovative company that focuses on a team approach to improve the lives of patients everywhere. We are confident that you'll love being a part of the Pediatrix team. Responsibilities The Coding Specialist is responsible for coordinating and participating in the coding of pertinent medical information from a variety of complex records and coding edits to include diagnosis, treatment of illness and procedures performed while ensuring accuracy of work adherence to established coding procedures of ICD-CM (International Classification of Diseases) and CPT-4 (Current Procedural Terminology). - Perform concurrent audit of provider-selected coding data during the coding and billing process, interpreting medical records and updating and/or verifying all valid diagnoses, procedure codes, modifiers, providers, and place of service as determined by the coder. - Participate in SOX control review (audit) processes. - Reviewing all pertinent medical records for diagnosis and procedures performed and documented while maintaining strict adherence to Pediatrix Compliance program guidelines. - Analyze source of errors and issues in order to determine next steps (provider error, system or edit issue). - Communicate to physicians by Electronic Mail all discrepancies in coding based on the medical record reviewed, per department guidelines and processes. - Review and educate physicians, advanced nurse practitioners and other staff as necessary on documentation requirements and coding guidelines. - Communicates to Coding management any claims edit updates needed, identified during concurrent audit of billing and coding. - Review claim denials submitted to Coding by RCM for changes to coding and updates to system edits to prevent future denials. Troubleshoot denials for cause and determine resolution. - Research and review third party payer guidance for establishment of system edits. - Participating in company processes for obtaining facility medical records (view with direct access, request via online forms, send provider requests) as well as being the organization representative to provide other departments with records from certain sites for which coder has access. - Maintain facility EMR system access as assigned (complete demographic forms, attend facility training, etc). - Participates in audit, education, and coding team meetings to discuss solutions to coding and documentation scenarios identified during coder assessment of provider coding and billing selections. - Facilitate new provider system access and training in charge capture systems. - Timely and appropriate coding of services as required to meet production needs - Meet or exceed required departmental productivity standards on a consistent basis. - Performs a variety of other Coding Compliance duties as needed. - Maintain strict confidentiality in accordance with HIPAA regulations and Company policy. - Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties. - Performs other job-related duties within the job scope as requested by Management of Coding. - Embodies the principles of the corporate Mission Statement and Philosophy at all times. - Complies with departmental and company-wide policies and procedures. Qualifications Education/Experience: - Certified Professional Coder (CPC) or Certified Coding Specialist – Physician (CCS-P) designation required with current active status. - Minimum of three years related experience and/or training; or equivalent combination of education and experience preferred in addition to certification. Knowledge/Skills: - Ability to define problems, collect data, establish facts, and draw valid conclusions. - Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and communicate them to physicians, coders, and other staff in a way that facilitates understanding. Software: - Microsoft Office (Excel, Word, Outlook, Teams), Medical Coding reference resources, and various hospital, vendor or proprietary documentation and billing platforms. Benefits and Compensation Take great care of the patient, every day and every way.TM At Pediatrix & Obstetrix, that’s not only our motto at work each day; it’s also how we view our employees and their families. We know that our greatest asset is YOU. We take pride in offering comprehensive benefits in a vast array of plans that fit your life and lifestyle, supporting your health and overall well-being. Benefits offered include, but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA and HSAs, as well as a 401k plan and Employee Stock Purchase Program. Some benefits are provided at no cost, while others require a cost share between employees and the company. Employees may also select voluntary plans and pay for these benefits through convenient payroll deductions. Our benefit programs are just one of the many ways Pediatrix & Obstetrix helps our employees take care of themselves and their families. About Us Pediatrix Medical Group is one of the nation’s leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The group’s high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives.    Please Note: Fraudulent job postings/job scams are becoming increasingly common. All genuine Pediatrix job postings can be found through the Pediatrix Careers site: www.pediatrix.com/careers. #LI-Remote Pediatrix is an Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

Work Schedule: This is a full time, 1.0 FTE position. Shifts will be scheduled Monday – Friday between the hours of 8:00 AM -4:30 PM. Hours may vary based on the operational needs of the department. To be eligible to work remotely, you must be in an approved remote work state for UW Health. We’ve included a link below to view the full list of approved remote work states. Approved Remote Work States Listing Be part of something remarkable Bring your leadership experience to UW Health. We are seeking a Supervisor - Inpatient Coding to: - Provide coaching to coding staff and ensure employees are receiving feedback on areas for improvement. - Collaborate with Clinical Documentation Improvement (CDI) on Hierarchical Condition Category (HCC) Coding. - Participate in hiring efforts which includes interviewing, onboarding, and training. - Coordinate staffing schedules to ensure quality and production standards are being met. At UW Health, you will have: - An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. - Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance. - Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being. - Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement. Qualifications - Graduate of a Medical Coding Program Required or - Associate's Degree in healthcare related field Required - Two (2) years of experience may be considered in lieu of a degree in addition to the required experience below - Graduate of a Health Information Technology program Preferred Work Experience - 2 years medical coding experience with at least one (1) year in a leadership role (for non-HCC role) or 2 years HCC Risk Adjustment experience with at least one (1) year in a leadership role (for HCC-specific role) Required - 2 years supervisory experience Preferred Licenses & Certifications - Certification as Certified Professional Coder (CPC) Upon Hire Required or - Certified Outpatient Coder (COC) Upon Hire Required or - Certified Inpatient Coder (CIC) Upon Hire Required or - Certified Coding Specialist (CCS) Upon Hire Required or - Certified Coding Specialist Physician Based (CCS-P) Upon Hire Required or - Certified Coding Associate (CCA) Upon Hire Required or - HCC-specific Supv: Certified Risk Adjustment Coder (CRC) Upon Hire Required or - Registered Health Information Technician (RHIT) Upon Hire Required or - Registered Health Information Administrator (RHIA) Upon Hire Required - Registered Health Information Technician (RHIT) Preferred or - Registered Health Information Administrator (RHIA) Preferred Our Commitment to Social Impact and Belonging UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Job Description UW Hospital and Clinics benefits