Community Health Systems
Jobs
Remote Physician Pro Fee Coding Specialist-Cardiology/Electrophysiology
Community Health Systems
Remote Physician Pro Fee Coding Specialist-Cardiology/Electrophysiology
Be an Early Applicant
Review and assign CPT, HCPCS, and ICD-10 codes for physician professional fee services; ensure compliance with NCCI/LCD/NCD and payer guidelines; perform coding audits and claim edits using EHR/billing systems (e.g., Athena Collector); collaborate with providers and revenue cycle teams; maintain HIPAA compliance and support coding education and special projects.
Job Summary
The Physician Coder is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement.
Essential Functions
The Physician Coder is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement.
Essential Functions
- Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation.
- Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs).
- Performs coding audits and quality reviews, verifying accuracy of documentation and identifying areas for provider education.
- Works coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement.
- Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance.
- Performs edit checks on coded data before transmittal, identifying and correcting errors as needed.
- Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies.
- Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices.
- Assists in coding-related special projects, ensuring accurate reporting and analysis of coding data for operational improvement.
- Performs other duties as assigned.
- Maintains regular and reliable attendance.
- Complies with all policies and standards.
- H.S. Diploma or GED required
- Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred
- 2-4 years of experience in physician coding, professional fee coding, or medical billing required
- Experience with multiple specialties, surgical coding, or high-volume professional fee coding preferred
- Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services.
- Understanding of modifier usage, place-of-service coding, and payer billing guidelines.
- Experience with electronic health records (EHR), coding software, and claim processing systems.
- Ability to identify documentation deficiencies and escalate for provider education.
- Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements.
- Strong analytical and problem-solving skills, ensuring accurate coding and optimal reimbursement.
- Effective communication and collaboration skills, working with providers, revenue cycle teams, and compliance staff.
- Certified Coder-AHIMA or AAPC (CPC) required or
- CCS-Certified Coding Specialist (CCS-P) required
- Additional certifications such as Certified Evaluation and Management Coder (CEMC) or Registered Health Information Technician (RHIT) preferred
Similar Jobs
Yesterday
Healthtech
Review and assign accurate CPT, HCPCS, and ICD-10 codes for physician professional fees, ensure compliance with payer and regulatory guidelines, perform coding audits and edits (e.g., Athena Collector), identify documentation gaps, collaborate with providers and revenue cycle teams, maintain HIPAA, and support coding education and special projects.
Top Skills:
Athena CollectorClaim Processing SystemsCoding SoftwareCptEhrHcpcsIcd-10
Cloud • Security • Software • Cybersecurity • Automation
As Vice President, Legal Commercial, you will lead GitLab's global commercial legal function, advising on strategies, managing a legal team, and overseeing AI governance and contracting.
Cloud • Security • Software • Cybersecurity • Automation
Manage a team of Professional Services Engineers, deliver GitLab platform services, ensure customer satisfaction, and improve operational effectiveness. Foster team growth and technical delivery consistency across projects while collaborating with cross-functional partners.
Top Skills:
DevsecopsGitlabPlatform EngineeringSoftware Delivery
What you need to know about the NYC Tech Scene
As the undisputed financial capital of the world, New York City is an epicenter of startup funding activity. The city has a thriving fintech scene and is a major player in verticals ranging from AI to biotech, cybersecurity and digital media. It also has universities like NYU, Columbia and Cornell Tech attracting students and researchers from across the globe, providing the ecosystem with a constant influx of world-class talent. And its East Coast location and three international airports make it a perfect spot for European companies establishing a foothold in the United States.
Key Facts About NYC Tech
- Number of Tech Workers: 549,200; 6% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Capgemini, Bloomberg, IBM, Spotify
- Key Industries: Artificial intelligence, Fintech
- Funding Landscape: $25.5 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Greycroft, Thrive Capital, Union Square Ventures, FirstMark Capital, Tiger Global Management, Tribeca Venture Partners, Insight Partners, Two Sigma Ventures
- Research Centers and Universities: Columbia University, New York University, Fordham University, CUNY, AI Now Institute, Flatiron Institute, C.N. Yang Institute for Theoretical Physics, NASA Space Radiation Laboratory
