Professional Fee Coder, ProFee

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Sage Clinical RCM, LLC

SiteLinkedInTodas as Vagas

51 - 200 funcionários

Fundada em 2024

🏥 Saúde

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

A Sage Clinical RCM é uma empresa de gerenciamento do ciclo de receita na área da saúde que combina tecnologia proprietária com expertise clínica e financeira para oferecer soluções de RCM de ponta a ponta—desde o acesso do paciente até o fechamento financeiro. A empresa oferece serviços de consultoria, operações de gerenciamento do ciclo de receita, adoção de tecnologia (incluindo melhoria da documentação clínica e codificação autônoma), aumento da força de trabalho (codificação, documentação, RCM, consultoria médica) e plataformas orientadas por análise de dados (Sage IQ: Validity e VERO) que utilizam automação e IA para unificar codificação, documentação, desempenho de fornecedores, conformidade e relatórios financeiros para organizações de saúde.

Descrição

• Review provider documentation and assign accurate CPT, HCPCS, and ICD-10-CM codes for physician services • Ensure documentation supports coded services and identify discrepancies • Apply appropriate modifiers, NCCI edits, and payer-specific coding rules • Maintain compliance with CMS, AMA, and payer guidelines • Maintain ≥95% coding accuracy and meet established productivity standards • Identify documentation gaps and escalate for clarification • Participate in quality reviews, audits, and ongoing coding education • Code independently within assigned specialty or specialties • Adapt to varying client workflows, systems, and documentation practices • Communicate effectively with internal teams and client stakeholders

🎯 Requisitos

• Active and good-standing CPC, CCS-P, RHIA, or RHIT credential • Minimum 2–3+ years of 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 • 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 • One or more listed specialties may be required based on engagement placement • Surgical coders: strong operative-report and procedural-documentation review, advanced modifier application, deep NCCI and bundling knowledge, and ability to code complex surgical cases independently • Medical/E&M coders: strong E&M leveling knowledge, documentation requirements, chronic-condition capture, medical-necessity validation, and provider-documentation completeness review • Diagnostic/ancillary coders: specialty-specific coding structures, professional-service modifiers such as component billing, and consistent coding conventions in high-volume workflows

🏖️ Benefícios

• Flexible work options (FT, PT, and PRN) • Exposure to diverse specialties and complex health system environments • Quality-driven culture with realistic expectations • Opportunity to expand into QA, audit, education, and advisory services