Professional Fee Coder (ProFee) (Remote | FT, PT, or PRN)

The Professional Fee (ProFee) Coder is 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 and client environments. Coders may support single-specialty or multi-specialty engagements depending on client needs and experience. Requirements Core Responsibilities (Sage Standards) Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes Ensure documentation supports coded services and identify discrepancies Apply appropriate modifiers, NCCI edits, and payer-specific coding rules Ensure compliance with CMS, AMA, and payer guidelines Maintain =95% coding accuracy and meet established productivity standards Identify documentation gaps and escalate for clarification when needed Participate in quality reviews, audits, and ongoing coding education Minimum Qualifications (Sage Requirements) Credential: 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 Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, and NCCI edits Familiarity with payer policies and coding guidelines Ability to work independently in a remote environment High attention to detail with consistent quality performance Work Model 100% remote Independent, production-focused environment with defined quality expectations Collaboration with coding, audit, and client teams Employment TracksFull-Time (FT): Standard weekday coverage aligned to client volumes PRN / Part-Time: Flexible scheduling to support backlog, specialty needs, or project-based work Specialty Alignment (Core to Role Placement) Coders are aligned to engagements based on demonstrated specialty experience. One or more specialties may be required. Surgical Specialties (Highest Complexity) Cardiothoracic Surgery Vascular Surgery General Surgery Orthopedic Surgery Neurosurgery Surgical Oncology Plastics / Reconstructive Colorectal, Urology, ENT Additional Expectations: Strong experience reviewing operative reports and procedural documentation Advanced modifier application (e.g., co-surgeon, assistant, multiple procedures) Deep understanding of NCCI edits and bundling rules Ability to independently code complex surgical cases Medical & E/M-Based Specialties Internal Medicine / Family Medicine Cardiology (E&M and/or procedural) Gastroenterology Pulmonary, Nephrology, Endocrinology Infectious Disease, Rheumatology Neurology, Psychiatry Additional Expectations: Strong knowledge of E&M leveling and documentation requirements Accurate capture of chronic conditions and medical necessity Ability to validate completeness and appropriateness of provider documentation Diagnostic & Ancillary Specialties Radiology Pathology Anesthesiology Radiation Oncology Additional Expectations: Understanding of specialty-specific coding structures Accurate use of modifiers specific to professional services (e.g., component billing) Consistency in applying coding conventions across high-volume workflows General Client Expectations Ability to code independently within assigned specialty or specialties Consistent delivery of =95% coding quality and aligned productivity standards Adaptability to varying client workflows, systems, and documentation practices Effective communication with internal teams and client stakeholders Why Sage Clinical RCM Exposure to diverse specialties and complex health system environments Flexible work options (FT, PT, and PRN) Quality-driven culture with realistic expectations Opportunity to expand into QA, audit, education, and advisory services YES HIM Consulting, Inc.