PB Coder II - ENT / Audiology

PB Coder II - ENT / Audiology. Fully remote position supporting ENT/Audiology. Independently perform complex, specialty-specific professional fee coding (CPT/HCPCS and ICD-10-CM) for physician services rendered in both office and hospital settings, ensuring expert application of modifiers and E/M guidelines, or perform entry-level facility coding for simple outpatient encounters (e.g., diagnostic imaging, labs) and basic inpatient services (e.g., uncomplicated admissions, short stays) using ICD-10-CM and ICD-10-PCS, where applicable. Ensure all coding adheres strictly to official guidelines (e.g., provided by AAPC or AHIMA), federal regulations (CMS), and organizational compliance standards. This job description indicates the general nature and level of work expected of the incumbent.

Responsibilities

Independently perform complex, specialty-specific professional fee coding (CPT/HCPCS and ICD-10-CM) for physician services rendered in both office and hospital settings, ensuring expert application of modifiers and E/M guidelines, or; Perform entry-level facility coding for simple outpatient encounters (e.g., diagnostic imaging, labs) and basic inpatient services (e.g., uncomplicated admissions, short stays) using ICD-10-CM and ICD-10-PCS, where applicable; Ensure all coding adheres strictly to official guidelines (e.g., provided by AAPC or AHIMA), federal regulations (CMS), and organizational compliance standards; Identify the need for formal clinical queries for documentation clarification when necessary for professional or facility records; Maintain high accuracy and productivity standards appropriate to the complexity of the assigned workload; May provide informal guidance to new coding staff on professional coding nuances

Requirements

An active coding certification issued by the American Academy of Coders (AAPC) OR American Health Information Management Association (AHIMA); High School Diploma or Equivalent required; Completion of an accredited medical coding or HIM program (or equivalent experience); Minimum of 3-5 years of direct professional fee coding experience in a multi-specialty environment is required; Experience with Epic or similar electronic health record systems is required; Proficient knowledge of medical terminology, anatomy, and pathophysiology; Advanced proficiency in CPT/HCPCS and ICD-10-CM/PCS coding systems; Basic understanding of facility payment methodologies (MS-DRGs) as they apply to simple encounters; Strong analytical skills, attention to detail, and ability to context-switch between different coding guidelines; Ability to work independently, manage a varied workload, and meet deadlines in a fast-paced environment

Nice to have

Dual certifications, preferred; Previous procedural experience preferred; Experience with professional procedural coding (e.g., surgical, interventional procedures) is preferred

Benefits

Benefits Eligible: Yes; Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training; Premium pay such as shift, on call, and more based on a teammate's job; Incentive pay for select positions; Opportunity for annual increases based on performance; Paid Time Off programs; Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability; Flexible Spending Accounts for eligible health care and dependent care expenses; Family benefits such as adoption assistance and paid parental leave; Defined contribution retirement plans with employer match and other financial wellness programs; Educational Assistance Program