We are seeking an experienced and detail-oriented Certified Medical Coder with a strong background in Family Medicine or Primary Care. The ideal candidate will be responsible for reviewing clinical documentation, assigning accurate medical codes, ensuring compliance with payer and regulatory requirements, and supporting revenue cycle operations. This role requires expertise in CPT, ICD-10, HCPCS, Evaluation and Management (E/M) coding, and proficiency with Athena EMR.
Key Responsibilities
- Review clinical documentation and accurately assign CPT, ICD-10, and HCPCS codes for family medicine encounters, including wellness visits, chronic care management, acute care visits, and preventive services.
- Apply appropriate E/M coding levels based on current documentation guidelines, including Medical Decision Making (MDM) and time-based coding criteria.
- Identify and code common in-office procedures such as immunizations, screenings, injections, and minor office-based procedures.
- Ensure coding accuracy and compliance with CMS regulations, payer-specific requirements, and current coding standards.
- Identify documentation deficiencies and collaborate with providers to obtain clarification or additional documentation when necessary.
- Apply appropriate modifiers according to coding and payer guidelines.
- Work closely with the billing team to resolve coding-related claim denials and support appeals when required.
- Document coding decisions accurately and maintain coding workflows within Athena EMR.
- Stay current with annual CPT, ICD-10, HCPCS, and CMS updates relevant to family medicine and primary care.
- Occasionally assist with patient outreach related to coding or documentation clarification when requested.
- Maintain strict adherence to HIPAA regulations and patient confidentiality standards.
- Perform additional coding-related duties and special projects as assigned.
Qualifications
- Active coding certification such as CPC, CCS, or equivalent credential through AAPC or AHIMA.
- Minimum of 3 years of certified medical coding experience, with direct experience in Family Medicine, Primary Care, or a similar outpatient setting.
- Proficiency with Athena EMR, including charge capture, documentation review, coding workflows, and claim-related processes.
- Strong knowledge of CPT, ICD-10-CM, HCPCS, and E/M coding guidelines.
- Experience coding preventive care visits, annual wellness visits, chronic care management (CCM), and primary care services.
- Familiarity with Medicare, Medicaid, and commercial payer coding requirements.
- Excellent written and verbal English communication skills.
- Strong analytical and problem-solving abilities with exceptional attention to detail.
- Ability to work independently in a remote environment while managing priorities and meeting deadlines.
- Experience supporting denial management and coding-related appeals.
- Knowledge of quality reporting measures and value-based care documentation.
- Experience working in a high-volume outpatient or multi-provider practice.
Perks
- Permanent Work From Home
- Leave Credits
- Monetary Allowance
- Annual Bonus
- Weekly Paychecks
- Fixed Weekends Off
- Thriving Company Culture with Complete Autonomy
- Exclusive Specialized Training Programs
- Unlock Your Potential with a Highly Competitive Salary
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Who are we
BizForce is one of the fastest-growing global outsourcing companies in the world, founded in the US in Tucson, Arizona and is now operational in PH!
Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.
