Certified Medical Coder - Family Medicine

Certified Medical Coder – Family Medicine Staffingly, Inc. supports family practices, urgent care centers, and specialty clinics across the U.S. with a highly educated and certified remote healthcare workforce. With over 400 trained agents—most holding PharmDs, RNs, or MHAs—we specialize in revenue cycle management, including coding, prior authorization, intake coordination, and patient follow-up. Our coders don’t just process claims—they recover missed revenue, catch denials before they happen, and educate providers to prevent repeated documentation errors. We are HIPAA, SOC 2 Type II, and ISO 27001 certified. Position Summary We are hiring a Certified Medical Coder with hands-on Family Medicine experience and a proven track record of partnering with providers to increase revenue per visit, reduce denials, and enhance care quality reporting. This role goes beyond code entry—it requires someone who understands workflows, EHR behavior, documentation pitfalls, and can work closely with clinicians to drive performance improvements. You’ll help lead a results-driven coding process where education, auditing, and accuracy are front and center. Key Responsibilities Review and Code 60–100 Daily Encounters: Assign accurate ICD-10, CPT, HCPCS, and CPT-II codes for telehealth, preventive care, and in-office procedures. Correct mismatches between provider documentation and codes submitted. Ensure modifiers (e.g., for telemedicine) are correctly applied. EHR Workflow Mastery (Tibra, Athena, ECW, etc.): Extract data from super bills and EHR records. Help optimize EHR “Favorites” and templates to prevent recurring miscoding. Identify missing clinical data that prevents billable coding (e.g., vitals, HPI completeness). Add Quality & Preventive Care Codes (CPT-II): Embed CPT Category II codes to support value-based contracts and close care gaps. Examples include: 4000F – Tobacco cessation counseling 3074F – BP recorded and within control 3044F – HbA1c Work with providers to understand when and how CPT-II codes apply. Catch Revenue-Leaking Errors: Fix common and costly mistakes like: Undercoding 99214 as 99213 Submitting 99397 instead of G0438 for Medicare AWV Failing to bill for supplies (vaccines, splints, labs) Overusing non-billable Z codes Daily Tracker & Audit Feedback: Maintain a real-time coding tracker (e.g., Google Sheets) shared with clinical leadership. Flag repeat mistakes by provider and suggest preventive strategies. Example: Noting that a provider regularly uses “unspecified” ICD-10s → recommending precise alternatives. Educate Providers Continuously: Create monthly reports showing top 5 documentation errors per provider. Offer suggestions for improvement (e.g., linking procedures, choosing correct E/M levels, avoiding non-payable diagnoses). Work as a partner, not a back-office role—build mutual respect and collaboration. Support Missed Encounter Recovery: Identify and recover “missed super bills” or forgotten visits. Track uncoded or late-coded encounters and submit accurate codes. Participate in Monthly QA Audits: Peer review of your coding Feedback from audit leads to maintain 98%+ accuracy Suggestions used to train others and elevate department-wide performance Proven Success Stories (You’ll Help Replicate): $8,300/year Increase per Provider by correcting undercoded 99213 visits to 99214 15% Billing Growth in One Month by identifying unbilled rapid tests, procedures, and missed CPT-II codes 50+ Missed Care Gap Closures Added Monthly using CPT-II codes for quality metrics 20+ Weekly Claim Denials Prevented by correcting Medicare coding errors (e.g., switching 99397 → G0438) Immediate Reimbursement Improvements by replacing non-billable Z codes and incomplete diagnoses Required Qualifications: AAPC or AHIMA Certification (CPC, CCS, CCS-P, RHIT, or RHIA) 2+ Years of Experience in Family Medicine or Primary Care Coding Expertise in CPT-II coding, HCC coding, and value-based care Fluent in E/M coding guidelines, modifiers, preventive services, and audit documentation Familiar with Tibra or similar EHRs, and adept with spreadsheet trackers (Google Sheets, Excel) Excellent written and verbal English communication skills Strong attention to detail, able to flag issues and suggest systemic improvements Preferred Experience: Familiarity with MIPS, HEDIS, and care gap tracking Experience auditing super bills and reconciling EHR documentation Track record of working in a collaborative, feedback-driven coding environment Experience coding telehealth services, Pap smears, in-office procedures, Medicare visits Why Join Staffingly? Work Remotely with U.S.-based management and training Immediate onboarding support with one-on-one EHR and workflow training Long-term client relationships focused on partnership, not outsourcing Performance Bonuses tied to audit scores, reimbursement impact, and client satisfaction Secure systems – full HIPAA, SOC 2, ISO 27001 compliance Opportunities for internal advancement into Lead Coder, Auditor, or Educator roles How to Apply To apply, email your below details to View email address on click.appcast.io Resume Certifications Staffingly, Inc