Pro Fee Clinic Coder

Job description

Palo Pinto General Hospital has been caring for our surrounding communities for more than 50 years. Our past is important but we are also looking to the future and you can find it right here at PPGH! With advanced technology, expanding clinics and telehealth services that bring specialists to our patients, we're growing to meet the needs of tomorrow-while keeping care local today.
About the Role:
The Pro Fee Clinic Coder plays a critical role in ensuring accurate and efficient medical coding for professional fee services within our healthcare facility in Mineral Wells, TX. This position is responsible for translating clinical documentation into standardized codes used for billing and reimbursement, directly impacting the financial health of the organization. The ideal candidate will collaborate closely with healthcare providers and billing teams to ensure compliance with coding guidelines and regulatory requirements. This role demands meticulous attention to detail, strong analytical skills, and a commitment to continuous learning in the evolving healthcare environment.
Minimum Qualifications:
• Certified Professional Coder (CPC) credential from AAPC or equivalent certification.
• Minimum of 2 years of experience in professional fee medical coding within a healthcare setting.
• Strong knowledge of CPT, HCPCS, and ICD-10 coding systems and guidelines.
• Familiarity with medical terminology, anatomy, and clinical documentation.
• Proficiency in using electronic health records (EHR) and coding software.

Preferred Qualifications:
• Experience working in a hospital or outpatient clinic environment.
• Knowledge of payer-specific billing requirements and reimbursement methodologies.
• Experience with revenue cycle management and denial management processes.
• Strong analytical and problem-solving skills with attention to detail.

Responsibilities:
• Review and analyze clinical documentation to assign accurate CPT, HCPCS, and ICD-10 codes for professional fee services.
• Ensure coding compliance with federal regulations, payer policies, and industry standards to minimize claim denials and audits.
• Collaborate with physicians, nurses, and billing staff to clarify documentation and resolve coding discrepancies.
• Maintain up-to-date knowledge of coding guidelines, payer requirements, and healthcare regulations through ongoing education.
• Assist in auditing coded data to identify trends, errors, and opportunities for process improvement.

Skills:
The required skills enable the Pro Fee Clinic Coder to accurately interpret clinical documentation and apply the correct codes, which is essential for proper billing and reimbursement. Proficiency with coding systems such as CPT, HCPCS, and ICD-10 ensures compliance with healthcare regulations and reduces claim denials. Familiarity with electronic health records and coding software facilitates efficient data entry and retrieval, streamlining daily workflows. Strong communication and analytical skills are used daily to collaborate with clinical and billing teams, resolve discrepancies, and continuously improve coding accuracy.
This is a FT position.
This is an hourly position Eligible for overtime pay; if applicable.