Revenue Cycle Coder, CPC

Job not on LinkedIn

🔥 1 minute ago

🌵 Arizona, Florida, +8 more states – Remote

🌵 Arizona – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌲 Oregon – Remote ⚓ Rhode Island – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ☕ Washington – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 12%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Proliance Surgeons

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Proliance Surgeons is an independent group of specialist physicians and surgeons based in Washington state that operates a large, patient-facing network of ambulatory surgical centers, specialty clinics, imaging centers, therapy clinics, and urgent care locations. They offer a wide range of services and specialties including general surgery, colorectal surgery, ENT, orthopedics, ophthalmology, plastic surgery, pain management, physical therapy, occupational medicine, podiatry and more, and emphasize personalized, local specialty care with convenient access (noting over 100 care centers).

📋 Description

• Review, audit, and interpret medical record documentation • Identify pertinent diagnoses and procedures and apply correct ICD-10, CPT-4, and HCPCS codes • Use coding software and coding reference materials appropriately • Follow up with providers regarding insufficient, missing, or unclear documentation • Assist providers with coding and documentation guideline questions • Provide feedback, identify education opportunities, and communicate coding trends to leaders • Maintain current knowledge of carrier policies and guidelines, including Medicare, NCCI, and payer-specific requirements • Review and resolve suspended charges caused by claim edits or payer rejections • Review, correct, and appeal coding-related denials • Share denial trends with leadership and team members to support root-cause analysis and continuous process improvement • Correct and/or appeal denied claims caused by coding errors • Perform other duties as assigned

🎯 Requirements

• Minimum 3 years coding/medical billing experience • Professional coder certification with credentialing from AHIMA and/or AAPC, maintained annually • ICD10 certified and/or extensive work experience • Prior orthopedic coding experience strongly preferred, particularly supporting high-volume orthopedic and surgical clinics • Strong understanding of physiology, medical terms, and anatomy • Thorough attention to detail • Excellent written and verbal communication skills • Self-motivated team player able to multi-task and prioritize • Excellent organization and interpersonal communication skills • Strong computer skills • Experience with Microsoft Excel, Outlook, and Adobe • Working experience navigating EHRs to abstract documentation • Must reside in WA, FL, NC, AZ, ID, OH, OR, TN, TX, or RI to be eligible for remote hire • Ability to work Monday–Friday, 8am–5pm PST

🏖️ Benefits

• Full-time Monday–Friday schedule, 8am–5pm PST • Remote work arrangement for eligible residents • Reasonable accommodations may be made to enable differently abled persons to perform essential functions

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