Coder Physician

Position Summary

We are seeking an experienced Professional Fee Pathology Coder to join our team. The ideal candidate will have a minimum of 2 years of pathology coding experience and be proficient in assigning accurate ICD-10-CM diagnosis codes, CPT procedure codes, and performing charge entry functions for professional pathology services. This role requires strong attention to detail, coding accuracy, and the ability to work independently in a fast-paced environment.

Key Responsibilities

• Review pathology documentation and assign accurate ICD-10-CM diagnosis codes and CPT procedure codes.
• Perform professional fee coding for pathology accounts in accordance with coding guidelines, payer requirements, and client policies.
• Complete charge entry for coded services in a timely and accurate manner.
• Ensure coding compliance and maintain high quality standards.
• Identify and resolve coding edits, denials, and documentation issues when applicable.
• Collaborate with providers, billing staff, and operational teams to address coding questions and discrepancies.
• Meet established productivity, quality, and turnaround time expectations.
• Maintain current knowledge of coding regulations, payer guidelines, and industry changes.

Required Qualifications

• Minimum 2 years of Professional Fee Pathology coding experience.
• Strong knowledge of:
  • ICD-10-CM diagnosis coding
  • CPT coding for pathology services
  • Professional fee coding guidelines
  • Charge entry processes
• Experience working within Epic and Optum coding systems.
• Strong analytical and problem-solving skills.
• Excellent attention to detail and accuracy.
• Ability to work independently while maintaining productivity and quality standards.
• Effective written and verbal communication skills.

Preferred Qualifications

• Experience working with multiple pathology subspecialties and payer-specific requirements.
• Experience with radiology coding.
• Prior experience in a remote coding environment.

Schedule

• Full-time position.
• Monday through Friday.
• Daytime work hours with some flexibility in scheduling.
• During the initial training period, candidates must be available between 8:00 AM and 4:00 PM EST.

Success Factors

• Consistently produces accurate and compliant coding.
• Demonstrates strong productivity and attention to detail.
• Works effectively with team members and stakeholders.
• Adapts quickly to workflow changes and client requirements.
• Maintains confidentiality and adheres to HIPAA regulations.

Required Qualifications

• Minimum 2 years of Professional Fee Pathology coding experience.
• Strong knowledge of:
  • ICD-10-CM diagnosis coding
  • CPT coding for pathology services
  • Professional fee coding guidelines
  • Charge entry processes
• Experience working within Epic and Optum coding systems.
• Strong analytical and problem-solving skills.
• Excellent attention to detail and accuracy.
• Ability to work independently while maintaining productivity and quality standards.
• Effective written and verbal communication skills.

Preferred Qualifications

• Experience working with multiple pathology subspecialties and payer-specific requirements.
• Experience with radiology experience
• Prior experience in a remote coding environment.