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ProFee Coder - InpatientYES HIM Consulting, Inc. • New York, New York, United States
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ProFee Coder - Inpatient

YES HIM Consulting, Inc.
  • US
    New York, New York, United States
  • US
    New York, New York, United States
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Über

Coding Specialist Responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. This role supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties, supporting single-specialty or multi-specialty engagements. Core Responsibilities
Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes. Ensure documentation supports coded services and identify/escalate discrepancies or gaps. Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including AMA and NCCI edits). Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards.
Minimum Qualifications
Credentials: CPC, CCS-P, RHIA, or RHIT (active and in good standing). Experience: Minimum 2–3+ years professional fee coding experience. Experience in hospital-based or physician practice environments preferred. Skills & Knowledge: Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, NCCI edits, and payer policies.
Client & Specialty Alignments
Evaluation & Management (E/M) Services: Requires strong knowledge of E/M leveling guidelines, accurate capture of chronic conditions, and validation of medical inpatient encounters. Minor & Major Procedure Coding: Requires the ability to independently review documentation and accurately assign CPT/HCPCS codes for both minor and major procedures, including appropriate modifier application and adherence to coding guidelines.
Work Model & Employment Tracks
Work Model: 100% remote, independent, production-focused environment with collaboration across coding, audit, and client teams. Full-Time (FT): Standard production aligned to client or project needs. Part-Time / PRN / Project-Based: Flexible support for backlog, specialty coverage, or targeted initiatives. Note: Some positions may require evening or weekend coverage based on client needs or project scope.
Why Sage Clinical RCM
National exposure to diverse, high-acuity health systems and specialties. Quality-first culture with realistic expectations (not volume-only). Flexible work options (FT, PT, and PRN). Opportunity to expand into other audit, education, and advisory services.
  • New York, New York, United States

Sprachkenntnisse

  • English
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