Certified Professional Coder w/ Epic Front End Operational Experience

Job description

This is a remote position.

Contract Assignment Healthcare System (Epic EHR) Overview Were seeking a Certified Professional Coder (CPC) with hands-on front-end Epic operational experience to support a health systems day-to-day coding workflows.

This contractor will perform professional coding activities directly within Epics end-user workflows (e.g., encounter completion, charge entry, charge review workqueues) to ensure accurate, timely, and compliant coding and charge capture.

Responsibilities Review clinical documentation and assign CPT/HCPCS, ICD-10-CM codes within Epic at the point of coding (front end), ensuring compliance with payer guidelines and health system policies.

Work in Epic workqueues (e.g., Charge Review, Claim Edit, Coding WQs) to resolve edits, denials, and holds; clear daily queues to meet turnaround goals.

Validate medical necessity and modifier usage; correct charge router/charge session issues before billing.

Collaborate with revenue cycle, clinic operations, and providers to clarify documentation and close coding gaps.

Apply payer-specific rules and NCCI edits, LCD/NCD guidance, and organizational coding standards.

Monitor and reduce charge lag and DNFB by proactively addressing front-end coding defects.

Document coding rationales and maintain clear audit trails within Epic.

Meet or exceed productivity and accuracy benchmarks; support internal and external audits.

Escalate systemic issues (template gaps, SmartTool opportunities, recurring edits) and suggest fixes to improve first-pass yield.

Requirements Required Qualifications Active CPC (AAPC) or CCS-P (AHIMA) certification.

13+ years of recent professional (pro-fee/outpatient) coding experience.

Epic operational proficiency in front-end workflows (e.g., Visit Navigator, charge entry, workqueues, encounter closure, claim edit).

Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and payer policies.

Demonstrated ability to interpret provider documentation and align it to compliant codes.

Understanding of NCCI edits, E/M guidelines (2021+), and medical necessity rules.

Excellent attention to detail, time management, and written communication.

HIPAA and confidentiality adherence.

Preferred Qualifications Prior work in a health system using Epic Professional Billing (PB) and/or Ambulatory modules.

Experience with specialty coding (e.g., primary care, cardiology, general surgery, orthopedics).

Familiarity with charge router workflows, claim edit resolution, and payer-specific clearinghouse edits.

Exposure to denials management and root-cause correction in front-end processes.

Key Performance Indicators (KPIs) Coding accuracy: 9598% (audit-validated) Productivity: X encounters/day (set per specialty mix) Turnaround time: Same-day or 48 hours from documentation completion Charge lag: Maintained within health system target First-pass claim rate: Meets/Exceeds organizational benchmark Tools & Environment Epic EHR (front-end operational workflows: Visit Navigator, charge entry, WQs, claim edit).

Coding references (e.g., AAPC, CPT Assistant, ICD-10 guidelines), payer portals, and internal policy manuals.

Secure communication tools for provider queries and clarifications.

Engagement Details Type: Contract (1099 or W-2) Schedule: Full-time (preferred); part-time considered based on queue volume Location: Remote; reliable high-speed internet required for remote work Duration: 3 months, with potential extension Reporting To: Coding Manager/Revenue Integrity Lead Compliance Maintain current certification and CEUs. Adhere to HIPAA, organizational policies, and ethical coding standards at all times.
Coding Certification
2+ Years
Required Qualifications Active CPC (AAPC) or CCS-P (AHIMA) certification.

1–3+ years of recent professional (pro-fee/outpatient) coding experience.

Epic operational proficiency in front-end workflows (e.g., Visit Navigator, charge entry, workqueues, encounter closure, claim edit).

Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and payer policies.

Demonstrated ability to interpret provider documentation and align it to compliant codes.

Understanding of NCCI edits, E/M guidelines (2021+), and medical necessity rules.

Excellent attention to detail, time management, and written communication.

HIPAA and confidentiality adherence.

Preferred Qualifications Prior work in a health system using Epic Professional Billing (PB) and/or Ambulatory modules.

Experience with specialty coding (e.g., primary care, cardiology, general surgery, orthopedics).

Familiarity with charge router workflows, claim edit resolution, and payer-specific clearinghouse edits.

Exposure to denials management and root-cause correction in front-end processes.

Key Performance Indicators (KPIs) Coding accuracy: ≥95–98% (audit-validated) Productivity: X encounters/day (set per specialty mix) Turnaround time: Same-day or ≤48 hours from documentation completion Charge lag: Maintained within health system target First-pass claim rate: Meets/Exceeds organizational benchmark Tools & Environment Epic EHR (front-end operational workflows: Visit Navigator, charge entry, WQs, claim edit).

Coding references (e.g., AAPC, CPT Assistant, ICD-10 guidelines), payer portals, and internal policy manuals.

Secure communication tools for provider queries and clarifications.

Required Skill Profession

Healthcare Support