[Hiring] Family Practice / Internal Medicine Coder @Practice Resources

Role Description

Practice Resources, LLC is seeking an experienced, detail-oriented Family Practice and/or Internal Medicine Coder to join our growing coding team. If you enjoy applying your coding expertise in a collaborative environment, working directly with providers, researching complex coding scenarios, and staying current with coding and compliance guidelines, we'd love to hear from you. This is a fully remote position offering flexibility, ongoing education, and the opportunity to work with a team that values coding accuracy, quality reporting, compliance, and professional development.

As a key member of our coding team, you will:

• Review physician documentation to ensure accurate code assignment, charge capture, compliance, and reimbursement.
• Apply expertise in ICD-10-CM, CPT, HCPCS Level II, and Category II coding.
• Support providers through coding education, documentation improvement, denial resolution, and quality reporting initiatives.

Qualifications

• Current AAPC or AHIMA certification (CPC®, CCS®, RHIT®, RHIA®, CPC-I®, or equivalent).
• Minimum of three years of Family Practice and/or Internal Medicine coding experience.
• Thorough knowledge of anatomy, physiology, and medical terminology.
• Strong working knowledge of:
  • ICD-10-CM
  • CPT
  • HCPCS Level II
  • Category II codes and quality measure reporting
  • E/M coding guidelines
  • Medicare, Medicaid, and commercial payer requirements
• Experience reviewing provider documentation and assigning appropriate diagnosis, procedure, and modifier codes.
• Excellent verbal and written communication skills.
• Ability to work independently, manage multiple priorities, and meet productivity expectations in a remote environment.

Requirements

• Review and code Family Practice and Internal Medicine encounters using ICD-10-CM, CPT, HCPCS Level II, and Category II coding guidelines.
• Monitor and validate charge capture to ensure coding accuracy, compliance, and appropriate reimbursement.
• Assign diagnosis, procedure, modifier, and Category II codes based on provider documentation and official coding guidelines.
• Apply coding expertise to a variety of primary care services, including:
  • Office and outpatient E/M services
  • Preventive medicine services
  • Medicare Annual Wellness Visits (AWV) and IPPE services
  • Transitional Care Management (TCM)
  • Chronic Care Management (CCM)
  • Behavioral Health Integration (BHI) and related services
  • Split/shared visits
  • In-office procedures and injections
  • Quality reporting initiatives and performance measure abstraction utilizing Category II codes
• Review medical documentation to ensure complete and accurate coding of symptoms, diseases, injuries, treatments, and procedures.
• Maintain a thorough understanding of NCCI edits, relative value units (RVUs), payer-specific requirements, and quality reporting programs.
• Communicate coding and documentation guidelines to physicians and clinical staff to improve documentation quality and coding accuracy.
• Research and resolve coding questions using available coding resources, payer policies, and regulatory guidance.
• Support Medicare, Medicaid, and commercial payer workflows related to coding reviews, denial management, appeals, and supporting documentation.
• Assist with provider education and documentation improvement initiatives that support compliance, reimbursement, and quality performance metrics.
• Apply professional judgment to identify potential coding and compliance concerns and provide accurate recommendations.
• Participate in coding team meetings and serve as a coding subject matter expert.
• Maintain productivity standards while meeting company quality and accuracy expectations.

Benefits

• Fully remote work environment
• Flexible scheduling
• Flex weeks available after training
• AAPC/AHIMA membership dues paid by PRL
• Coding books provided
• Access to AAPC webinars for CEUs
• EncoderPro and additional coding resources provided
• Supportive team of experienced coding professionals
• Opportunity to serve as a coding subject matter expert and educator
• Ongoing education and exposure to evolving coding, compliance, and quality reporting initiatives