Role overview

Qualifications

CPC, CCS-P, RHIA, or RHIT (active and in good standing)
Minimum 2–3+ years professional fee coding experience
Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, NCCI edits, and payer policies

Responsibilities

Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes
Ensure documentation supports coded services and identify/escalate discrepancies or gaps
Ensure compliance with CMS, payer-specific rules, and official coding guidelines
Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards

Key facts

Remote from: Anywhere
Full time
Mid-level (2-5 years)
English

Hard skills

CPT Coding ICD Coding (ICD-9/ICD-10) Health Policies

Other skills

Detail Oriented
Problem Solving
Collaboration

About the company

YES HIM Consulting, Inc.

Business Consulting & Services

YES HIM Consulting, Inc. is a premier HIM coding consulting firm with over 70+ HIM coding credentialed employees serving a variety of clients nationwide. Our team members average 20+ years of experience in HIM coding and hold numerous credentials including RHIA, RHIT, CCS, CCS-P, CPC, CDIP and PMP. Our services to our clients include inpatient/outpatient/profee coding compliance audits, CDI mismatch reviews, profee front end edits and back end rejection edits, coding education and training, new coder mentoring, remote coding, and payor denial letter appeals, coder assessments. What YES stands for? YES is an abbreviation for Youmans Executive Source. Our goal at YES is to truly become a partner with our health information management clients. We provide our clients with tailored solutions, excellent communication and the industry expertise to meet their goals.

Company details

IndustryBusiness Consulting & Services

Company size51 - 200

Links

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Job description

Description

Role Summary

Responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. This role supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties, supporting single-specialty or multi-specialty engagements.

Core Responsibilities

Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes.
Ensure documentation supports coded services and identify/escalate discrepancies or gaps.
Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including AMA and NCCI edits).
Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards.

Requirements

Minimum Qualifications

Credentials: CPC, CCS-P, RHIA, or RHIT (active and in good standing).
Experience: Minimum 2–3+ years professional fee coding experience. Experience in hospital-based or physician practice environments preferred.
Skills & Knowledge: Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, NCCI edits, and payer policies.

Client & Specialty Alignments

Evaluation & Management (E/M) Services: Requires strong knowledge of E/M leveling guidelines, accurate capture of chronic conditions, and validation of medical inpatient encounters.
Minor & Major Procedure Coding: Requires the ability to independently review documentation and accurately assign CPT/HCPCS codes for both minor and major procedures, including appropriate modifier application and adherence to coding guidelines.

Work Model & Employment Tracks

Work Model: 100% remote, independent, production-focused environment with collaboration across coding, audit, and client teams.
Full-Time (FT): Standard production aligned to client or project needs.
Part-Time / PRN / Project-Based: Flexible support for backlog, specialty coverage, or targeted initiatives.
Note: Some positions may require evening or weekend coverage based on client needs or project scope.

Why Sage Clinical RCM

National exposure to diverse, high-acuity health systems and specialties.
Quality-first culture with realistic expectations (not volume-only).
Flexible work options (FT, PT, and PRN).
Opportunity to expand into other audit, education, and advisory services.