Pay Range Full-time equivalent (1.0 FTE) position. Actual compensation may differ based on assigned hours and position status (e.g., part-time). The pay range is $25.49 - $33.16. Position Overview Responsible for accurately reviewing and assigning Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and ICD‑10‑CM codes for professional claims billed by Capital Health Medical Group for hospital and outpatient procedures. Applies official coding conventions and rules established by the American Medical Association (AMA) and the Centers for Medicare and Medicaid Services (CMS) for assignment of procedural and diagnostic codes. Reviews procedure documentation for accurate assignment of ICD‑10‑CM diagnosis, CPT‑4 codes and modifiers. Ensures appropriate coding of evaluation and management services when applicable. Minimum Requirements Education: High school diploma or equivalent. Certification required: Certified Professional Coder‑Apprentice (CPC‑A), Certified Professional Coder (CPC), or Certified Coding Specialist‑Physician (CCS‑P). Associate’s degree in health information management preferred. Experience: Two years’ experience in physician coding role preferred. ICD‑10‑CM, CPT‑4 and HCPCS coding experience preferred. One year surgical coding experience preferred. Other Credentials Knowledge and Skills: Excellent verbal and written communication skills; strong knowledge of surgical coding guidelines; knowledge of pathophysiology and disease processes. Special Training: Physician coding and training certification. Proficiency with Microsoft applications (Outlook, Word, Excel, PowerPoint). Medical terminology, anatomy and physiology, or pathophysiology knowledge. CPC‑A, CPC, or CCS‑P required. Mental, Behavioral and Emotional Abilities: Ability to work in an environment using multiple EMR systems; ability to work collaboratively with others as well as independently. Essential Functions Review procedure documentation to assign accurate CPT‑4 procedure codes and appropriate modifiers for procedures in the operating room and complex procedure rooms. Validate provider selected ICD‑10‑CM diagnosis codes. Analyze provider documentation to ensure the appropriate provider assigned Evaluation and Management (E&M) codes for procedural cases. Meet or exceed departmental accuracy and productivity standards. Ensure compliance with national coding guidelines and Capital Health policies for complete, accurate, and consistent coding resulting in appropriate reimbursement and data integrity. Apply official coding conventions and rules established by the AMA and CMS for assignment of procedural and diagnostic codes. Foster teamwork and collaboration. Review CCI edits, MUE edits, LCD and NCD coverage before chart finalization. Identify documentation gaps or inconsistencies and escalates when clarification is required. Collaborate with billing, charge review, and revenue integrity teams to prevent recurring issues. Address professional coding pre‑bill edits timely to ensure minimal days in DNFB. Act as a subject matter expert for professional coding. Perform other duties as assigned. Frequent Physical Demands Occasional physical demands: Standing, walking, climbing stairs or ladders, carrying objects, pushing/pulling, twisting, bending, reaching forward, reaching overhead, squatting/kneeling/crawling, wrist position deviation, pinching/fine motor activities, keyboard use/repetitive motion, taste or smell, talk or hear. Continuous physical demands: Sitting. Lifting: Floor to waist 15 lbs; lifting waist level and above 10 lbs. Sensory Requirements: Accurate near vision, accurate far vision, minimal color discrimination, accurate depth perception, accurate hearing. Anticipated Occupational Exposure Risks: N/A. Benefits Retirement Savings and Investment Plan Disability Benefits – Short Term Disability (STD) Sick Time Off Employee Assistance Program The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level. The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria. #J-18808-Ljbffr