Role Description The Remote Physician Coder is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. - Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation. - Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs). - Performs coding audits and quality reviews, verifying accuracy of documentation and identifying areas for provider education. - Works coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement. - Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance. - Performs edit checks on coded data before transmittal, identifying and correcting errors as needed. - Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies. - Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices. - Assists in coding-related special projects, ensuring accurate reporting and analysis of coding data for operational improvement. - Performs other duties as assigned. - Maintains regular and reliable attendance. - Complies with all policies and standards. Qualifications - H.S. Diploma or GED required - Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred - 2-4 years of experience in physician coding, professional fee coding, or medical billing required - Experience with multiple specialties, surgical coding, or high-volume professional fee coding preferred Requirements - Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services. - Understanding of modifier usage, place-of-service coding, and payer billing guidelines. - Experience with electronic health records (EHR), coding software, and claim processing systems. - Ability to identify documentation deficiencies and escalate for provider education. - Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements. - Strong analytical and problem-solving skills, ensuring accurate coding and optimal reimbursement. - Effective communication and collaboration skills, working with providers, revenue cycle teams, and compliance staff. Licenses and Certifications - Certified Coder-AHIMA or AAPC (CPC) required or - CCS-Certified Coding Specialist (CCS-P) required - Additional certifications such as Certified Evaluation and Management Coder (CEMC) or Registered Health Information Technician (RHIT) preferred

• Utilize and enhance your coding expertise in an exciting and fulfilling role. • Work independently and maintain quality conscious attitude. • Adapt well to change in a reputable, award-winning company.

Role Description Multifacility responsibility for ensuring all aspects of coding is carried out accurately and efficiently through chart reviews, problem account resolution, and coding education according to established rules and regulatory guidelines across Orlando Health System. Responsibilities - Performs focused review for accuracy of principal and secondary diagnoses, co-morbid conditions and complications, procedure code assignments, and other required abstracted elements according to provider documentation in the medical record for billing compliance, quality reporting, and optimal reimbursement. - Maintains and achieves the highest standards of coding quality by assigning accurate ICD-10-CM and ICD-10-PCS or CPT-4 codes utilizing an electronic encoder application. - Acts as a subject matter expert on coding guidelines and responds promptly to internal and external requests for feedback on coding-related issues. - Participates and provides expert feedback during coding section meetings and coding education in-services. - Develops and presents educational materials to key stakeholders to support accurate and compliant coding. - Interacts and communicates effectively with coders, physicians, physician extenders, and members of the coding and management team. - Collaborates with manager and other members of the Revenue Management Team to review all necessary patient records for accurate coding. - Identifies trends from review findings and formulates recommendations for corrective action plans for Key Performance Indicator (KPI) reporting, process improvement, and education. - Assists with Discharge Not Final Billed (DNFB) account reviews to ensure timely code completion and accurate billing for multi-hospital accounts. - Maintains and achieves department standards of abstracting quality by reviewing accurate discharge disposition. - Acts as a team leader and support for regional manager. - Assists with system testing, reporting, data trending, and troubleshooting coding applications. - Serves as a preceptor to new coders. - Complies with the Standards of Ethical Coding as set forth by AHIMA and AAPC. - Attends departmental and interdepartmental meetings as required. - Utilizes resource material available in department to support coding practices. - Maintains reasonably regular, punctual attendance consistent with Orlando Health policies. - Maintains compliance with all Orlando Health policies and procedures. Inpatient Liaison – Hospital inpatient - Advanced level of knowledge of sequencing guidelines for diagnosis and procedure codes. - Demonstrates strong understanding of mortality and other coding impacted quality initiatives. - Collaborates with Clinical Document Excellence (CDE), Quality Management, and other departments for DRG assignments. - Assists in coding any inpatient cases as needed. Outpatient Liaison – Hospital outpatient - Advanced level of knowledge of ICD-10 and CPT coding. - Advanced level of knowledge of NCCI and external payer edit resolution. - Assists in coding any outpatient cases as needed. Radiation Oncology Liaison – Hospital and Outpatient - Advanced knowledge of ICD-10 and CPT coding in the radiation oncology field. - Advanced level knowledge of radiation oncology modalities and billing rules. - Advanced skill level in radiation oncology modality procedure charge validation. - Advanced skill level in reading treatment plans to identify the number of MUEs and devices. Qualifications - Associate’s or bachelor’s degree in Health Information Management; OR completion of coding certificate program. - Thorough knowledge of official coding guidelines as per AMA, AHA, and CMS. - Computer literacy, knowledge of Anatomy, Physiology, and Medical Terminology required. - Liaison coding skills test of 90% or better. - Advanced level knowledge of anatomy, physiology, pathophysiology, pharmacology, and medical terminology. Licensure/Certification - One of the following national certifications: Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) through AHIMA. - Certified Professional Coder (CPC) through the American Academy of Professional Coders. - Certified Outpatient Coder (COC). Experience - Seven (7) years of relevant hospital inpatient and/or outpatient coding experience required. - One (1) year of teaching hospital coding experience preferred. - For Radiation Oncology Liaison: Three (3) years of Radiation Oncology coding experience required. Benefits - All Inclusive Benefits (start day one). - Student loan repayment, tuition reimbursement, FREE college education programs, retirement savings, paid paternity leave, fertility benefits, back up elder and childcare, pet insurance, PTO/Holidays, and more for full time and part time employees.

Title: Risk Adjustment Coder-11 Location: Miami, Florida, United States of America Job Description: We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. The Risk Adjustment Coder works in a collaborative effort directly with physicians and their office staff and other support departments to review medical records and other clinical documentation to identify appropriate risk adjustment codes and quality gap closure opportunities. A major focus of the position is to collect and review documents to support the organization's quality and risk adjustment initiatives, which results in improving quality of care. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: - Ensures compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment Reviews of medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to verify whether: - The diagnosis codes are supported by the documentation and ensure with ICD-10-CM Guidelines for Coding and Reporting. - The diagnosis codes for each chronic or major medical condition have been captured correctly. - Any diagnosis code that is unsubstantiated by the record should be queried to provider and assess to accuracy. - Reviews for clinical indicators and query providers to capture the severity of illness of the patient. - Conducts medical charts to identifying opportunities for improving individual member risk adjustment score accuracy. - Provides feedback to internal clients on: - Examples of documentation and physician self-coding that do not meet quality standards. - Examples of missed operations missed opportunities. - Examples of clinical that ensure quality and timely care of our members as well as correct reimbursement. - Identifies clinical coding and documentation trends and training needs to improve the quality of documentation to reflect our patients' health data. - Attends all meetings as required. - Other duties as assigned and modified at manager's discretion. KNOWLEDGE, SKILLS & ABILITIES: - Advanced understanding of medical terminology, body systems/anatomy, physiology and concepts of disease processes. - Demonstrated ability to utilize a variety of electronic medical records systems. - Ability to manage significant work load, and to work efficiently under pressure meeting established deadlines with minimal supervision. - Strong time management skills. - Excellent written and oral communication for representation of clear and concise results. - Strong follow-up skills & organizational skills required. - Must possess high degree of accuracy, efficiency and dependability. - Candidate will start in office, but could potentially work from home after quality and production levels exceed targets. Would need to be comfortable coming to the office on a weekly basis and as established by management. - Travel required 0-10% EDUCATION AND EXPERIENCE CRITERIA: - High School Diploma or GED required. - Coding Certificate required. APPC or AHIMA coding certified preferred. - CRC (certified risk coder) is required, or minimum of 3-5 years' experience in risk adjusting coding in lieu of certificate. - Two (2) + years' experience in a primary care environment is required. - Strong knowledge of Microsoft Office Suite (Excel-basic mathematical formulas, charts, tables). - Strong medical coding and third party operating procedures and practices. - Knowledge of CPT/ICD-9 & 10 & Medical Terminology. PAY RANGE: $24.0 - $34.25 Hourly The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions. EMPLOYEE BENEFITS https://chenmed.makeityoursource.com/helpful-documents We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day. Current employees, if you want to apply to our internal career site, please click HERE Current Contingent Worker please see job aid HERE to apply #LI-Remote