Certified Professional Coder – Epic Front End Operational Experience

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October 23

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Shyft6

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HR Tech • Recruitment • B2B

Shyft6 is a trusted partner for innovative companies, specializing in workforce solutions that encompass staffing and recruiting, workforce management, and human capital strategy. With over 26 years of combined experience, Shyft6 offers a comprehensive range of services including contingent workforce supplier management, recruitment process outsourcing, staff augmentation, executive search, and multi-state payroll. Their focus is on empowering organizations through effective workforce development and project management, ensuring successful delivery and skilled talent acquisition.

201 - 500 employees

Founded 2019

👥 HR Tech

🎯 Recruiter

🤝 B2B

📋 Description

• Review clinical documentation and assign CPT/HCPCS, ICD-10-CM codes within Epic at the point of coding (front end), ensuring compliance with payer guidelines and health system policies. • Work in Epic workqueues (e.g., Charge Review, Claim Edit, Coding WQs) to resolve edits, denials, and holds; clear daily queues to meet turnaround goals. • Validate medical necessity and modifier usage; correct charge router/charge session issues before billing. • Collaborate with revenue cycle , clinic operations , and providers to clarify documentation and close coding gaps. • Apply payer-specific rules and NCCI edits , LCD/NCD guidance, and organizational coding standards. • Monitor and reduce charge lag and DNFB by proactively addressing front-end coding defects. • Document coding rationales and maintain clear audit trails within Epic. • Meet or exceed productivity and accuracy benchmarks; support internal and external audits. • Escalate systemic issues (template gaps, SmartTool opportunities, recurring edits) and suggest fixes to improve first-pass yield.

🎯 Requirements

• Active CPC (AAPC) or CCS-P (AHIMA) certification. • 1–3+ years of recent professional (pro-fee/outpatient) coding experience. • Epic operational proficiency in front-end workflows (e.g., Visit Navigator, charge entry, workqueues, encounter closure, claim edit). • Strong knowledge of ICD-10-CM, CPT, HCPCS , modifiers, and payer policies. • Demonstrated ability to interpret provider documentation and align it to compliant codes. • Understanding of NCCI edits , E/M guidelines (2021+), and medical necessity rules. • Excellent attention to detail, time management, and written communication. • HIPAA and confidentiality adherence.