YES HIM Consulting, Inc.
New York, NY
Professional Fee Coder The Professional Fee (ProFee) Coder is responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. This role supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties and client environments. Coders may support single-specialty or multi-specialty engagements depending on client needs and experience. Core Responsibilities (Sage Standards)
Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes Ensure documentation supports coded services and identify discrepancies Apply appropriate modifiers, NCCI edits, and payer-specific coding rules Ensure compliance with CMS, AMA, and payer guidelines Maintain 95% coding accuracy and meet established productivity standards Identify documentation gaps and escalate for clarification when needed Participate in quality reviews, audits, and ongoing coding education
Minimum...