About this role
Position Summary
We are seeking an experienced Professional Fee Pathology Coder to join our team. The ideal candidate will have a minimum of 2 years of pathology coding experience and be proficient in assigning accurate ICD-10-CM diagnosis codes , CPT procedure codes , and performing charge entry functions for professional pathology services. This role requires strong attention to detail, coding accuracy, and the ability to work independently in a fast-paced environment.
Key Responsibilities
- Review pathology documentation and assign accurate ICD-10-CM diagnosis codes and CPT procedure codes.
- Perform professional fee coding for pathology accounts in accordance with coding guidelines, payer requirements, and client policies.
- Complete charge entry for coded services in a timely and accurate manner.
- Ensure coding compliance and maintain high quality standards.
- Identify and resolve coding edits, denials, and documentation issues when applicable.
- Collaborate with providers, billing staff, and operational teams to address coding questions and discrepancies.
- Meet established productivity, quality, and turnaround time expectations.
- Maintain current knowledge of coding regulations, payer guidelines, and industry changes.
Required Qualifications
- Minimum 2 years of Professional Fee Pathology coding experience .
- Strong knowledge of: ICD-10-CM diagnosis coding
- CPT coding for pathology services
- Professional fee coding guidelines
- Charge entry processes
- Experience working within Epic and Optum coding systems.
- Strong analytical and problem-solving skills.
- Excellent attention to detail and accuracy.
- Ability to work independently while maintaining productivity and quality standards.
- Effective written and verbal communication skills.
Preferred Qualifications
- Experience working with multiple pathology subspecialties and payer-specific requirements.
- Experience with radiology coding.
- Prior experience in a remote coding environment.
Schedule
- Full-time position.
- Monday through Friday.
- Daytime work hours with some flexibility in scheduling.
- During the initial training period, candidates must be available between 8:00 AM and 4:00 PM EST .
Success Factors
- Consistently produces accurate and compliant coding.
- Demonstrates strong productivity and attention to detail.
- Works effectively with team members and stakeholders.
- Adapts quickly to workflow changes and client requirements.
- Maintains confidentiality and adheres to HIPAA regulations.
Required Qualifications
- Minimum 2 years of Professional Fee Pathology coding experience .
- Strong knowledge of: ICD-10-CM diagnosis coding
- CPT coding for pathology services
- Professional fee coding guidelines
- Charge entry processes
- Experience working within Epic and Optum coding systems.
- Strong analytical and problem-solving skills.
- Excellent attention to detail and accuracy.
- Ability to work independently while maintaining productivity and quality standards.
- Effective written and verbal communication skills.
Preferred Qualifications
- Experience working with multiple pathology subspecialties and payer-specific requirements.
- Experience with radiology experience
- Prior experience in a remote coding environment.