Gastroenterology ProFee Coder, E/M & Surgical
Vee Technologies
full-time
Posted on:
Location Type: Remote
Location: Remote • Arizona, Connecticut, Florida, Louisiana, Maine, Massachusetts, Minnesota, Mississippi, Missouri, Montana, Nevada, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas • 🇺🇸 United States
Visit company websiteSalary
💰 $28 - $30 per hour
Job Level
JuniorMid-Level
About the role
- Review provider documentation, including office notes, inpatient progress notes, consults, and operative reports, to accurately assign professional fee CPT and ICD-10-CM codes
- Code E/M services (office, inpatient, consults, observation, and procedures) in compliance with current AMA and CMS guidelines
- Code physician-performed gastroenterology procedures, including endoscopic and surgical services (EGD, colonoscopy, sigmoidoscopy, ERCP, etc.)
- Apply appropriate ProFee modifiers (e.g., -25, -26, -57, -59, -51) based on documentation and payer rules
- Ensure correct identification of global surgical periods and physician responsibilities within those periods
- Validate medical necessity and linkage of diagnoses to procedures for professional claims
- Identify documentation gaps and communicate with providers or CDI teams to ensure accurate ProFee coding
- Assist with claim edits, denials, and coding-related inquiries for professional services
- Maintain productivity, accuracy, and quality benchmarks for ProFee coding
Requirements
- High school diploma or equivalent (required)
- Completion of an accredited medical coding program or equivalent experience
- 2+ years of ProFee gastroenterology coding experience preferred
- Experience with physician billing systems and EHR platforms
- CPC, CCS-P, or equivalent professional coding certification preferred
- Specialty certification in gastroenterology coding (e.g., CGSC) preferred
Benefits
- Full health insurance including medical/dental/vision
- PTO
- 401k match
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
CPT codingICD-10-CM codingE/M codingProFee codinggastroenterology codingmedical necessity validationclaim editsdocumentation gap identificationmodifier applicationglobal surgical period identification
Soft skills
communicationattention to detailproblem-solvingcollaborationtime management
Certifications
CPCCCS-PCGSC