Community Health SystemsCS

Remote Physician Pro Fee Coding Specialist - Radiology

Community Health Systems, Inc. is dedicated to improving healthcare access in the U.S. with a wide range of services through its extensive network of hospitals and care facilities.

Community Health Systems

Employee count: 1001-5000

United States only

Job Summary

The Physician Coder 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.

Essential Functions

  • Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation.
  • Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs).
  • Performs coding audits and quality reviews, verifying accuracy of documentation and identifying areas for provider education.
  • Works coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement.
  • Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance.
  • Performs edit checks on coded data before transmittal, identifying and correcting errors as needed.
  • Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies.
  • Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices.
  • Assists in coding-related special projects, ensuring accurate reporting and analysis of coding data for operational improvement.
  • Performs other duties as assigned.
  • Complies with all policies and standards.

Qualifications

  • 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

Knowledge, Skills and Abilities

  • 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
  • Additional certifications such as Certified Evaluation and Management Coder (CEMC) or Registered Health Information Technician (RHIT) preferred

About the job

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Posted on

Job type

Full Time

Experience level

Mid-level

Location requirements

Hiring timezones

United States +/- 0 hours

About Community Health Systems

Learn more about Community Health Systems and their company culture.

View company profile

Community Health Systems (CHS) has been at the forefront of healthcare delivery for nearly 40 years, committed to helping individuals get well and live healthier lives. With a presence in 39 distinct markets across 15 states, CHS operates 69 acute-care hospitals and more than 1,000 sites of care, which includes physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers, and ambulatory surgery centers. Each of our affiliated hospitals acts as a cornerstone of its community, providing essential healthcare services that are accessible and tailored to the specific needs of local populations.

CHS’s mission emphasizes quality, patient safety, and to create value for the communities we serve. Our size and scale allow us to leverage resources effectively, driving investments in technology and healthcare services that enhance the patient experience. This commitment is reflected in our partnerships with approximately 20,000 physicians and advanced practice clinicians, who play a crucial role in ensuring that high-quality healthcare services are available. Our overarching goal remains clear: to deliver the finest healthcare possible, ensuring that individuals receive the compassionate, comprehensive medical attention they deserve.

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Community Health Systems

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Community Health Systems hiring Remote Physician Pro Fee Coding Specialist - Radiology • Remote (Work from Home) | Himalayas