Pro Fee Coder Jobs in Parma, OH (NOW HIRING)

A Pro Fee Coder is a medical coding professional responsible for reviewing and assigning accurate codes to professional (physician) services and procedures for billing and reimbursement purposes. They ensure compliance with coding guidelines, payer policies, and regulatory requirements. Pro Fee Coders typically work with CPT, ICD-10-CM, and HCPCS codes to accurately document and bill for medical services provided in various healthcare settings such as clinics, hospitals, and physician offices.

Pro Fee Coders are primarily responsible for reviewing medical documentation and accurately assigning appropriate procedure and diagnosis codes for professional billing. Their daily duties often include validating records for compliance, submitting coded data to billing departments, and addressing coding-related queries from healthcare providers. They may also be involved in auditing records and working closely with medical staff to clarify documentation. This role requires a high level of accuracy and organization, as well as regular communication with both clinical and administrative team members.

To thrive as a Pro Fee Coder, you need expertise in medical coding, knowledge of CPT, HCPCS, and ICD-10 codes, and typically a certification such as CPC or CCS-P. Familiarity with electronic medical record (EMR) systems, coding software, and compliance regulations like HIPAA is essential. Attention to detail, organization, and strong communication skills help Pro Fee Coders excel, especially when working with physicians and billing teams. These skills are critical to ensure accurate claim submissions, maximize reimbursements, and reduce denials or compliance issues.