Profee Coder
National Capital Region - Philippines
Job Summary
We are looking for experienced Professional Fee (Profee) Medical Coders to review clinical documentation and accurately assign CPT ICD-10-CM and HCPCS codes for physician services and procedures. Successful candidates will have strong coding expertise in one or more specialties ensuring coding accuracy compliance with industry standards and appropriate reimbursement.
We are particularly interested in candidates with experience in OB-GYN Urology General Surgery Orthopedics Bariatric Surgery Cardiology Gastroenterology and Nephrology.
- Review physician documentation medical records operative reports and clinical notes to determine appropriate codes for professional services.
- Assign accurate CPT ICD-10-CM and HCPCS codes in accordance with official coding guidelines and payer requirements.
- Apply specialty-specific coding knowledge to diagnoses procedures and professional services.
- Review documentation for completeness accuracy and coding compliance.
- Identify discrepancies or insufficient documentation and escalate issues for clarification when necessary.
- Maintain established productivity quality and turnaround time targets.
- Participate in coding audits quality reviews and continuous improvement initiatives.
- Use electronic health record (EHR) platforms and professional fee coding systems to support accurate coding.
- Protect confidential patient information in accordance with HIPAA and company policies.
- Graduate of a Medical Allied course.
- Must hold an active medical coding certification: CPC CCS-P COC or CCS.
- At least 2 years of Professional Fee (Profee) Medical Coding experience.
- Experience in one or more of the following specialties:
- OB-GYN and Urology: Experience coding professional services and procedures in obstetrics gynecology and/or urology.
- General Surgery Orthopedics and Bariatric Surgery: Experience coding surgical procedures including orthopedic and bariatric cases.
- Cardiology: Comprehensive experience across cardiology coding services including invasive and noninvasive procedures.
- Gastroenterology and Nephrology: Experience coding diagnoses procedures and physician services within these specialties.
- Strong understanding of medical terminology anatomy physiology and disease processes relevant to the assigned specialty.
- For Cardiology Coders a strong understanding of cardiovascular anatomy physiology disease processes medical terminology and cardiac devices.
- Experience coding invasive and noninvasive cardiology services including electrophysiology cardiac devices cardiothoracic procedures and vascular procedures.
- Experience using different electronic health record (EHR) platforms and coding systems including Epic or other professional fee coding systems.
- Experience supporting multispecialty Professional Fee coding environments.
- Strong analytical skills attention to detail and the ability to meet coding accuracy and productivity standards.
- Willingness to work on a US shift.
- Experience in a healthcare BPO or Revenue Cycle Management (RCM) environment.
- Knowledge of payer-specific coding requirements compliance standards and professional fee reimbursement processes.
- Experience handling complex medical records and specialty-specific coding cases.
- Work-from-home opportunity.
- Full-time employment.
- Exposure to a global healthcare Revenue Cycle Management environment.
- Opportunities for professional development and career growth.
Interested applicants may submit their updated CV for initial screening and qualification assessment.