Medical Coder

Description

JOB DESCRIPTION OVERVIEW

About Us:

ENT Specialty Partners (ESP) provides unparalleled strategic, financial, and operational support to partnering ear, nose, and throat practices. We collaborate with clinics that provide a wide range of services in otolaryngology - head and neck surgery, audiology, allergy, facial plastic surgery, pulmonology, and physical therapy. Guided by excellence, service, principles, and innovation, ESP aims to become the foremost provider of ENT services in the country. Our dynamic team prioritizes people and fosters a collaborative community of healthcare professionals delivering exceptional employee and patient care.

About the Role:

This is a full-time, 100% remote position for an experienced surgical coder specializing in high-complexity ENT surgery. The coder will review clinical documentation and diagnostic results to accurately assign ICD-10, CPT, and HCPCS codes for billing, reporting, research, and compliance purposes.

The ideal candidate demonstrates expertise in interpreting complex medical records and applying coding guidelines in accordance with ICD-10-CM Official Guidelines, CMS/MAC rules, AMA CPT standards, and all applicable regulatory requirements. This role also includes responsibility for coding-related denials and claim edits, recommending corrective actions, and ensuring payer compliance. 

What You’ll Do:

• Maintain a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.
• Ensure that all services documented in the patient’s chart are coded with appropriate ICD-10 and CPT codes. When services/diagnoses are not documented appropriately, seek to attain proper documentation in a timely manner according to facility standards.
• Achieve and maintain a high level of accuracy in coding while maintaining a high level of productivity. Accuracy will be monitored during monthly reviews within the facility.
• Maintain average productivity standards as specified.
• Work the charge, claims and coding denial queues daily to ensure all charts are worked and any corrections are communicated to the facility if necessary.
• Correct and communicate charts that require re-bills to the facility daily for the re-bill process. Refer to the re-bill policy in facility guidelines.
• Work directly with billing team to ensure quality standards are met for each facility.
• Provide accurate answers to physicians/hospitals coding and/or billing questions within eight hours of request.
• Responsible for coding or pending every chart placed in their queue within 48 hours.
• Notify manager if the 48-hour turnaround standard cannot be met.
• Maintain current professional credentials while employed by ESP.
• Become familiar with the ESP coding resources and use it as a daily tool to correctly code and abstract for each facility.
• Maintain HIPAA compliant workstations and adhere to HIPAA workstation policy.
• Review and adhere to the coding division policy and procedure manual content.
• Collaborate with other members of the facilities coding and billing team to maximize efficiency and reimbursement for properly documented services.
• Communicate problems or coding principal discrepancies to supervisor immediately.
• Other duties as required.

Qualifications

Qualifications & Requirements:

• High School Diploma or equivalent.
• 5–7 years of physician coding experience (inpatient and outpatient).
• Minimum 3 years of surgical coding experience required.
• CPC certification from AAPC (active and maintained).
• Strong understanding of federal and state coding regulations and payer guidelines.
• Exceptional attention to detail, accuracy, and time management.
• Ability to work independently and effectively with multidisciplinary teams.
• Strong written, verbal, and interpersonal communication skills.
• Demonstrated professionalism and positive attitude.
• Epic experience preferred.
• ENT specialty coding experience preferred.

Work Environment & Physical Expectations:

• Remote work environment (100% work-from-home).
• Monday–Friday, daytime schedule; occasional after-hours meetings may be required.
• Ability to sit for extended periods, move throughout the office as needed, and perform light lifting; manual dexterity required for frequent computer and phone use.

Remote – Must Reside in TX, MD, PA, VA, DC

This is a remote position; however, due to state-specific employment requirements, we are only able to consider candidates who reside in the following states: TX, MD, PA, VA, DC

Applicants must be currently located in one of these states to be eligible for employment.

Behavioral Expectations:

• Attention to detail and accuracy.
• Excellent organizational skills.
• Good interpersonal, and communication skills.

Why ESP?

We offer competitive compensation and a full range of benefits, including:

• Medical, dental, and vision insurance
• 401(k) with Safe Harbor contribution
• Paid time off and holidays
• Optional short- and long-term disability
• Voluntary life and accident insurance
• Additional benefits including legal support, EAP, and more
• A collaborative, values-driven culture focused on growth and innovation