Primary Care E/M Coder

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.


Job Summary


Our client is seeking a skilled Primary Care E/M Coder with a focus on coding accuracy and regulatory compliance within a centralized business office setting. The primary responsibilities include reviewing and abstracting clinical documentation, managing Physician Billing workflows, and ensuring integrity and compliance of documentation to enhance the "Clean Claim Rate."


Key Responsibilities

• Coding Accuracy: Review and abstract clinical documentation to assign appropriate E/M levels (99202-99215) and associated CPT codes for Primary Care visits, including annual wellness exams, preventive medicine, and office-based procedures.
• PB Specialist Focus: Manage Physician Billing (PB) workflows, ensuring seamless charge capture within the Epic (Resolute) system.
• Documentation Integrity: Identify and resolve documentation gaps by initiating provider queries to ensure the complexity of medical decision-making (MDM) or time spent is accurately captured.
• Regulatory Compliance: Stay current on all NCCI edits, CMS billing regulations, and the latest E/M guideline revisions to mitigate audit risks.
• Collaboration: Work closely with the clinical team and the Revenue Cycle department to reduce claim denials and improve the "Clean Claim Rate."

Qualifications

• Active coding credential from AAPC (CPC) or AHIMA (CCS-P) is mandatory.
• Minimum of 2-3 years of experience specifically in Professional Fee (PB) E/M coding; experience in a Primary Care or Family Medicine setting is highly preferred.
• Technical Skills: Proficiency in Epic (Resolute PB)
• Deep understanding of the 2021/2023 E/M documentation guidelines based on MDM or Time.

Skills

• Technical Skills: Proficiency in Epic (Resolute PB)
• Understanding of E/M documentation guidelines and telehealth expertise.

Additional Requirements


Flexibility required in work schedule; start times include 9am, 8am CST, or 7am CST.


Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language


This role necessitates compliance with Illinois state regulations, and candidates must adhere to the latest CMS billing regulations and E/M guideline revisions.


* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).


Medix Overview:


With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.


* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.