Role Description
Remote position for General and Complex Surgery, must have experience with coding General Surgery. Will support Surgical and Complex Specialties.
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Schedule: Monday - Friday, First shift, 40 hours a week, 8 hours per day, 6am - 6pm EST/CST
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Pay Range: $35.50 - $53.25
Major Responsibilities:
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Deliver proactive coding education through newsletters, scorecards, and presentations, covering CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions.
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Lead onboarding and compliance training for all employed Physicians/APPs, including Locum Tenens, residents, and students, ensuring documentation accuracy from the start.
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Provide individualized documentation feedback by reviewing new clinician records and conducting spot checks, escalating non-coding issues to appropriate teams.
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Serve as the primary contact for coding inquiries, coordinating with internal teams to resolve complex issues such as NCCI bundling and high-complexity charge edits.
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Monitor Epic work queues (charge review, follow-up, claim edit) to ensure timely and accurate charge submissions and reduce claim denials.
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Collaborate across departments—including CMOs, Clinical Informatics, Risk Adjustment, and Population Health—to enhance documentation practices and system optimization.
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Participate in specialty and department meetings, identifying trends and delivering targeted education to improve coding and documentation accuracy.
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Refine Epic documentation tools, including templates, order entries, diagnosis lists, and SmartSets/SmartPhrases, to improve efficiency and accuracy.
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Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA’s Standards of Ethical Coding, while maintaining expert knowledge of evolving policies.
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Promote a culture of ethical coding and continuous improvement, supporting clinicians with timely updates, feedback, and education to ensure accurate reimbursement and compliance.
Qualifications
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Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist – Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC).
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Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge. High school diploma or GED required.
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Typically requires 4 years of experience in expert-level professional coding.
Requirements
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Advanced Coding Expertise: In-depth knowledge of ICD, CPT, and HCPCS coding guidelines, ensuring accurate and compliant coding practices.
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Medical Terminology & Anatomy: Strong understanding of medical terminology, anatomy, and physiology to support precise code assignment.
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Epic & Reporting Solutions: Advanced knowledge of Epic and other reporting tools to analyze data, generate reports, and optimize workflow efficiencies.
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Critical Thinking & Analytical Skills: Highly proficient in problem-solving and analytical thinking with strong attention to detail.
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Interpersonal Communication: Excellent verbal and written communication skills, with the ability to educate and collaborate effectively with physicians, APCs, clinical leadership, and coding teams.
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Advanced Computer Skills: Proficiency in Microsoft Office Suite, electronic coding applications, and email communication.
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Organizational & Prioritization Skills: Ability to efficiently manage multiple tasks, set priorities, and meet deadlines in a fast-paced environment.
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Independent Decision-Making: Ability to work independently, exercise sound judgment, and make informed decisions regarding coding and compliance.
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Collaboration & Initiative: Strong ability to take initiative, contribute to process improvements, and work collaboratively within a team environment.
Benefits
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Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training.
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Premium pay such as shift, on call, and more based on a teammate's job.
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Incentive pay for select positions.
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Opportunity for annual increases based on performance.
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Paid Time Off programs.
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Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability.
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Flexible Spending Accounts for eligible health care and dependent care expenses.
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Family benefits such as adoption assistance and paid parental leave.
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Defined contribution retirement plans with employer match and other financial wellness programs.
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Educational Assistance Program.
