Remote Physician Pro Fee Coding Specialist-Interventional Cardiology

**Job Summary** The Remote Physician Pro Fee Coder-Interventional Cardiology 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. ### Qualifications * 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 ### Knowledge, Skills and Abilities * 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. ### Licenses and Certifications * 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 Originally posted on [Himalayas](https://himalayas.app)