Contract Assignment Healthcare System (Epic Ehr)
This is a remote position.
We're seeking a Certified Professional Coder (CPC) with hands-on front-end Epic operational experience to support a health system's day-to-day coding workflows. This contractor will perform professional coding activities directly within Epic's end-user workflows (e.g., encounter completion, charge entry, charge review workqueues) to ensure accurate, timely, and compliant coding and charge capture.
Responsibilities:
- Review clinical documentation and assign CPT/HCPCS, ICD-10-CM codes within Epic at the point of coding (front end), ensuring compliance with payer guidelines and health system policies.
- Work in Epic workqueues (e.g., Charge Review, Claim Edit, Coding WQs) to resolve edits, denials, and holds; clear daily queues to meet turnaround goals.
- Validate medical necessity and modifier usage; correct charge router/charge session issues before billing.
- Collaborate with revenue cycle, clinic operations, and providers to clarify documentation and close coding gaps.
- Apply payer-specific rules and NCCI edits, LCD/NCD guidance, and organizational coding standards.
- Monitor and reduce charge lag and DNFB by proactively addressing front-end coding defects.
- Document coding rationales and maintain clear audit trails within Epic.
- Meet or exceed productivity and accuracy benchmarks; support internal and external audits.
- Escalate systemic issues (template gaps, SmartTool opportunities, recurring edits) and suggest fixes to improve first-pass yield.
Required Qualifications:
- Active CPC (AAPC) or CCS-P (AHIMA) certification.
- 13+ years of recent professional (pro-fee/outpatient) coding experience.
- Epic operational proficiency in front-end workflows (e.g., Visit Navigator, charge entry, workqueues, encounter closure, claim edit).
- Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and payer policies.
- Demonstrated ability to interpret provider documentation and align it to compliant codes.
- Understanding of NCCI edits, E/M guidelines (2021+), and medical necessity rules.
- Excellent attention to detail, time management, and written communication.
- HIPAA and confidentiality adherence.
Preferred Qualifications:
- Prior work in a health system using Epic Professional Billing (PB) and/or Ambulatory modules.
- Experience with specialty coding (e.g., primary care, cardiology, general surgery, orthopedics).
- Familiarity with charge router workflows, claim edit resolution, and payer-specific clearinghouse edits.
- Exposure to denials management and root-cause correction in front-end processes.
Key Performance Indicators (KPIs):
- Coding accuracy: ?9598% (audit-validated)
- Productivity: X encounters/day (set per specialty mix)
- Turnaround time: Same-day or ?48 hours from documentation completion
- Charge lag: Maintained within health system target
- First-pass claim rate: Meets/Exceeds organizational benchmark
Tools & Environment:
- Epic EHR (front-end operational workflows: Visit Navigator, charge entry, WQs, claim edit).
- Coding references (e.g., AAPC, CPT Assistant, ICD-10 guidelines), payer portals, and internal policy manuals.
- Secure communication tools for provider queries and clarifications.
Engagement Details:
- Type: Contract (1099 or W-2)
- Schedule: Full-time (preferred); part-time considered based on queue volume
- Location: Remote; reliable high-speed internet required for remote work
- Duration: 3 months, with potential extension
- Reporting To: Coding Manager/Revenue Integrity Lead
Compliance:
- Maintain current certification and CEUs.
- Adhere to HIPAA, organizational policies, and ethical coding standards at all times.