Community Health Systems Professional Services Corporation
Location
Franklin, Tennessee
The specialist is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record, ensuring compliance with regulations and payer policies. This role involves working coding edits, performing audits, and collaborating with internal teams to support coding compliance and accurate reimbursement.
A High School Diploma or GED is required, though an Associate Degree in a related field is preferred, along with 2-4 years of experience in physician or professional fee coding. Candidates must possess strong knowledge of ICD-10, CPT, and HCPCS, and hold a required certification such as CPC or CCS-P.
The Remote Physician Pro Fee Coder-Radiology is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement.
H.S. Diploma or GED required Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred 2-4 years of experience in physician coding, professional fee coding, or medical billing required Experience with multiple specialties, surgical coding, or high-volume professional fee coding preferred
Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services. Understanding of modifier usage, place-of-service coding, and payer billing guidelines. Experience with electronic health records (EHR), coding software, and claim processing systems. Ability to identify documentation deficiencies and escalate for provider education. Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements. Strong analytical and problem-solving skills, ensuring accurate coding and optimal reimbursement. Effective communication and collaboration skills, working with providers, revenue cycle teams, and compliance staff. Licenses and Certifications Certified Coder-AHIMA or AAPC (CPC) required or CCS-Certified Coding Specialist (CCS-P) required or Registered Health Information Technician (RHIT) or (RHIA)
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