Certified Professional Coder w Epic Front End Operational Experience
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Experience Required:
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
This is a remote position.
Contract Assignment Healthcare System (Epic EHR)
Overview
Were seeking a Certified Professional Coder (CPC) with hands-on front-end Epic operational experience to support a health systems day-to-day coding workflows. This contractor will perform professional coding activities directly within Epics 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.
Requirements
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.
Required Skills:
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.
Required Education:
Coding Certification
Company Industry
IT Services and IT Consulting
Key Skills
- Bootstrap
- CSS
- Front-End Development
- HTML5
- React
- Redux
- Node.js
- Angular
- Less
- JavaScript
- backbone.js
- Sass
