Pro Fee Coding Specialist
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Pro Fee Coding Specialist reviewing medical records and correcting diagnosis and procedure codes for Saint Francis Health System. Resolving coding denials and guiding providers on compliant documentation and billing.
Responsibilities:
- Review medical record documentation and add or correct diagnosis and procedure codes submitted by providers
- Code assigned records using current coding and billing requirements
- Monitor coding and billing performance and resolve denials related to coding errors
- Review charge corrections and rebilling for coding-denial resolution
- Analyze claims-denial data and develop preventative measures
- Prepare periodic reports for clinical staff identifying corrective measures
- Advise and instruct providers on documentation and billing policies, procedures, and regulations
- Obtain clarification for conflicting, ambiguous, or nonspecific documentation
- Educate providers and office staff on documentation, coding, billing changes, and regulations
- Collaborate with providers, office staff, billing personnel, quality, compliance, and coding resources
- Stay updated on coding rules and attend seminars and review coding periodicals
- Work directly with patients, customers, healthcare professionals, and staff
Requirements:
- Previous experience strongly preferred
- Minimum education: GED or High School diploma
- Must hold one of the following certifications: CCS, CPC, BCHH-C, RHIA, RHIT, or HCCS; applicants without a required certification must obtain one within one year of hire
- Knowledge and/or training in anatomy and physiology of the human body and disease processes preferred
- 2 years related experience preferred
- Sound knowledge of medical records and coding specificity
- Basic encoder skills
- Knowledge of Microsoft 365 and applicable software
- Ability to determine whether records are complete enough to code
- Ability to work independently and collaboratively in a fast-paced environment
- Ability to manage multiple priorities and competing deadlines
Similar Jobs
Pro Fee Coding Specialist
Part-time Pro Fee Coding Specialist reviewing medical records and correcting diagnosis and procedure codes. Supporting accurate billing, denial resolution, and provider compliance for Saint Francis healthcare services.
Coder – Inpatient
Inpatient coder reviewing medical records, abstracting data, and assigning ICD diagnosis and procedure codes. Supporting accurate hospital coding, reporting, and accounts receivable management.
Associate Fraud and Abuse Investigator, Certified Professional Coder (CPC)
Remote Associate Fraud and Abuse Investigator/CPC auditing healthcare claims and coding for Sentara Health Plan. Investigating suspected fraud, waste, and abuse across health plan products.
HCC / Risk Adjustment Medical Coders
Remote HCC/Risk Adjustment Medical Coder reviewing medical records for accurate, compliant risk adjustment coding. Ensuring ICD-10-CM, CMS-HCC, HIPAA, and audit requirements are met.
Inpatient Corporate Coder
Remote inpatient coder abstracting clinical records and ensuring coding accuracy for Tenet’s hospitals and care facilities. Supporting audits, reviews, credential maintenance, and coder training.
Risk Adjustment Coding Specialist
Risk adjustment coding specialist supporting population health at Saint Alphonsus Health System. Conducting coding education, medical record audits, and quality measure improvement remotely.
Coding Specialist, Physician Billing
Physician Coder assigning ICD-10-CM and CPT-4 codes for Baptist Health’s physician billing operations. Supporting compliant reimbursement across specialties and outpatient services.
Senior Coder, Physician Billing Office
Senior Coder applying ICD-10 and CPT codes for Baptist Health’s physician billing operations. Ensuring accurate, compliant coding across specialties, procedures, and surgeries.
PFS Medical Billing Specialist I
Medical billing specialist submitting compliant insurance claims for Mosaic Life Care, a Missouri healthcare system. Resolving billing errors and supporting revenue-cycle operations remotely.
Medical Billing Supervisor
Medical billing supervisor managing remote team workflows, claims submission, and denial mitigation for a healthcare billing company. Ensuring Medicare Part A billing accuracy and policy compliance.
Medical Coder
Medical Coder applying ICD-10, CPT, and HCPCS codes for a Philippines-based medical services company. Reviewing records, supporting clean claims, and coaching billers remotely.
Coder II – Outpatient ED
Medical coder handling outpatient ED and facility records for Advocate Health, a nonprofit integrated health system. Applying CPT/HCPCS and ICD-10 coding standards remotely across approved states.
Emergency Department Facility Coding Specialist
Emergency department coding specialist applying CPT, HCPCS, and ICD-10 codes. Supporting CorroHealth’s healthcare reimbursement solutions through accurate facility and professional-fee coding.
Profee IP Coding Specialist
Remote medical coding specialist assigning CPT, HCPCS, and ICD-10 codes across professional fee, facility, and HCC cases. Supporting CorroHealth’s healthcare reimbursement solutions.
ICD-10 Coding Specialist, Home Health & Hospice
Home Health and Hospice Coding Specialist reviewing clinical documentation and assigning ICD-10-CM codes for Senior Options. Supporting Medicare compliance, reimbursement integrity, and coding quality remotely across the United States.
HIM Cert Coder, Interventional Radiology, CPT, ICD-10
Remote certified coder specializing in interventional radiology, CPT, and ICD-10 for Carle Health. Providing expert coding, audits, mentoring, and department leadership support.
Senior Medical Billing, RCM Specialist
Senior medical billing specialist managing U.S. healthcare claims, denials, AR, and payer follow-up. Supporting revenue cycle operations remotely for SnappyCX’s healthcare clients.
Senior Medical Billing, RCM Specialist
Senior medical billing specialist managing U.S. healthcare claims, denials, AR, and payer follow-up for SnappyCX. Fully remote role supporting healthcare practices during U.S. business hours.
Bilingual Senior Medical Billing, RCM Specialist – English, Spanish
Bilingual senior specialist managing U.S. healthcare billing, denials, AR, and payer follow-up for SnappyCX. Fully remote, serving Medicare, Medicaid, and commercial insurance workflows.
Ambulatory Coder II – Professional Billing
Ambulatory coder reviewing CPT, ICD-10, HCPCS, and modifier codes for Prisma Health’s multi-specialty healthcare practices. Resolving billing edits and supporting compliant provider coding.