3 epic pb coder ii jobs found

Professional Billing Coder II The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately escalates coding/denial trends and provider education opportunities....

Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately escalates coding/denial trends and provider education...

Job Summary The PB Coding Auditor is responsible for reviewing and auditing professional fee claims to ensure accurate code assignment, documentation compliance, and adherence to federal, state, payer, and organizational guidelines. This role supports revenue integrity, compliance, and provider education through routine and targeted audits. Key Responsibilities Conduct retrospective and prospective audits of professional billing claims, including E/M services, procedures, modifiers, and diagnosis coding Validate coding accuracy against provider documentation , CPT®, HCPCS, ICD-10-CM, and payer-specific rules Identify coding errors, trends, and compliance risks, including undercoding, overcoding, and unbundling Ensure compliance with CMS guidelines, NCCI edits, LCDs/NCDs , and commercial payer policies Provide written audit findings , including clear rationale and corrective action recommendations Communicate audit results to providers, coders, and...