Urgent Care Coder – PRN

🔥 2 minutes ago

🇺🇸 United States – Remote

⏱ Part Time

🟢 Junior

🟡 Mid-level

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Healthrise

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

⚖️ Legal

📦 Logistics

Healthcare • Legal • Logistics

Healthrise is a company dedicated to providing comprehensive healthcare solutions, focusing on revenue cycle management, electronic health record (EHR) services, and strategic consulting. With over a decade of experience, Healthrise assists health systems nationwide in achieving operational and financial success through tailored strategies. Their team of experts partners with healthcare organizations to tackle complex operational challenges and enhance efficiency, ensuring both patient and financial outcomes are optimized.

📋 Description

• Performs day-to-day professional-fee coding for urgent care partner organizations on a PRN (as-needed) basis • Translates urgent care visit documentation into accurate, compliant claims data to support clean claims and reduce downstream denials • Provides flexible coding capacity during volume surges, coverage gaps, and backlog reduction • Reviews urgent care encounter documentation and assigns accurate CPT, HCPCS, ICD-10-CM, and applicable modifier codes • Assigns evaluation and management (E/M) levels based on current AMA guidelines for medical decision making or total time • Codes urgent care procedures and services, including laceration repair, incision and drainage, fracture and splint care, injections and infusions, vaccines, in-house laboratory testing, and point-of-care imaging • Applies modifiers appropriately, including -25, -59, and laterality modifiers, and reports supplies and drug administration (HCPCS J-codes) when supported by documentation • Meets established productivity and accuracy benchmarks • Queries providers when documentation is unclear, incomplete, or conflicting, and tracks query responses to resolution • Applies NCCI edits, CMS and AMA guidelines, and payer-specific policies to ensure compliant coding • Maintains the confidentiality and security of PHI in accordance with HIPAA and client requirements • Accepts and completes assignments within agreed turnaround times, communicating availability and capacity clearly to project leadership • Ramps quickly on client-specific coding policies, EHR workflows, and billing models for each assignment • Participates in quality audits, feedback sessions, and ongoing education, and incorporates feedback into daily work • Identifies and escalates trends in denials, documentation gaps, or coding issues to project leadership • Documents all actions and query outcomes in the client’s coding and billing systems • Performs other duties as assigned

🎯 Requirements

• Active professional coding credential in good standing, such as CPC, CCS, or CCS-P • Minimum of two (2) years of recent, hands-on urgent care, emergency department, or ambulatory professional-fee coding experience • Working knowledge of CPT, HCPCS Level II, ICD-10-CM, E/M guidelines, modifiers, and NCCI edits • Ability to accept short-notice assignments and meet agreed turnaround times • Located in and authorized to work in the United States • Reliable high-speed internet and a secure workspace that meets HIPAA requirements • Excellent written and verbal communication and organizational skills • Attention to detail, accuracy, and time management • Preferred: Certified Emergency Department Coder (CEDC) or Certified Evaluation and Management Coder (CEMC) • Preferred: Experience coding occupational medicine, workers’ compensation, or self-pay urgent care visits • Preferred: Experience with major EHR and encoder platforms (Epic, athenahealth, eClinicalWorks, Cerner/Oracle Health, 3M, Optum, or equivalent) • Preferred: Prior PRN, contract, or project-based coding experience • Preferred: Demonstrated accuracy rate of 95% or higher • Preferred: Completion of regulatory/mandatory certifications

🏖️ Benefits

• PRN (as-needed) engagement • Flexible coding capacity during volume surges, coverage gaps, and backlog reduction • Ongoing education • Participation in quality audits and feedback sessions

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