Professional Fee Coder, ProFee

🕒 il y a 14 jours

🇺🇸 États-Unis – Télétravail

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

👻 Score fantôme 18%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Sage Clinical RCM, LLC

Sage Clinical RCM, LLC

51 - 200 employés

Fondée en 2024

🏥 Santé

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

Sage Clinical RCM est une entreprise de gestion du cycle de revenus de la santé qui allie technologie propriétaire à une expertise clinique et financière pour offrir des solutions RCM de bout en bout, de l'accès des patients à la clôture financière. La société propose des services de conseil, des opérations de gestion du cycle de revenus, l'adoption de technologies (y compris l'amélioration de la documentation clinique et la codification autonome), l'augmentation de la main-d'œuvre (codification, documentation, RCM, conseils aux médecins) et des plateformes pilotées par les analyses (Sage IQ : Validity et VERO) qui utilisent l'automatisation et l'IA pour unifier la codification, la documentation, la performance des fournisseurs, la conformité et le reporting financier pour les organisations de santé.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

• 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

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