PB Coder
Core
Reviewing and analyzing ambulatory and hospital-based encounters to assign CPT, ICD-10, HCPCS codes, and modifiers for physician services.
Role type
Medical Coder (Physician Billing)
Builds
Accurate medical claims for third-party payers
Domain
Healthcare / Medical Billing
Required skills
CPT coding, ICD-10 coding, HCPCS coding, modifier assignment, regulatory compliance, documentation analysis, denial resolution, Epic system proficiency
Preferred skills
CCS-P, CPC, RHIT, RHIA certifications, 2+ years experience, Microsoft Excel proficiency
Technologies
Epic, Microsoft Office, Excel
Responsibilities
Analyze provider documentation to assign E/M levels and procedure codes; Interpret outpatient and hospital encounter notes to determine services provided; Perform comprehensive review of encounters for vital information and diagnosis accuracy; Monitor and follow up to ensure all billed services are captured; Resolve coding denials from payers; Provide real-time feedback to providers on coding changes via Epic; Participate in coding meetings and collaborate with management on billing projects.
Seniority
Mid-level, individual contributor
