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ProFee Coder - Inpatient

YES HIM Consulting, Inc.

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. YES HIM Consulting, Inc.

Vacancy posted 4 days ago
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