Professional Medical Coder I - (Remote)

Who We Are

At Vitruvian Health, we serve with compassion. As the leading healthcare system for northwest Georgia and southeast Tennessee, we are committed not only to strengthening the health of our communities, but also to supporting the growth, success, and well‑being of every team member.

Our Legacy

Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With more than 80 access points across the region—including Hamilton Medical Center and Bradley Medical Center—you’ll have the opportunity to be part of something bigger: a connected, mission‑driven team making a difference every day.

Our Values

Our core values—Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE)—guide every interaction and decision. We believe in empowering our people, celebrating what makes us unique, and delivering care that reflects the heart of our mission.

Your Career With Us

Join us and build a meaningful career where you’re valued, inspired, and supported to make a real impact.

Excellence. Every person. Every time.

JOB SUMMARY

Under indirect supervision, the associate remotely reviews medical records and assigns/verifies the appropriate CPT and ICD10 code(s) while adhering to published compliance regulations and guidelines. The individual must be detailed oriented, possess initiative, be able to work independently, and must demonstrate the ability to work with physicians and other healthcare providers with cooperation and flexibility. This position serves as a resource for physicians in regard to code assignment issues and related policies and procedures regarding required documentation. The associate reviews assigned work daily, ensures timely charge review and claim creation, and maintains strict confidentiality with regard to protected health information. The individual understands and adheres to HIPAA Privacy & Security policies and procedures.

JOB QUALIFICATIONS

Education: High School Diploma Required.   

Licensure:  Base Coding Certification required (CPC, CPC-H, CCA, CCS, CCS-P) along with two additional specialty credentials required.  

Experience:  At least 1 years’ experience coding Evaluation and Management services required, surgical specialty experience preferred.  

Skills: The associate must possess knowledge of medical record content, medical terminology, anatomy & physiology, ICDCM/PCS & CPT coding systems. The individual must have the ability to examine the chart and verify documentation needed for accurate code assignment and be able to clearly communicate medical coding information to providers, other qualified healthcare professionals, and clinical staff when appropriate. The associate must possess knowledge of coding concepts and principles, understanding of medical coding and billing systems, and knowledge of legal, regulatory, and policy compliance matters related to medical coding, documentation and billing.. The individual has the ability to apply good judgment, has excellent decision-making skills, and must be able to work in team environment but also work autonomously due to the nature of the position. The associate must be detail oriented and consistently produce quality work. The individual must possess good verbal, written and computer communication skills and be able to perform functions in Microsoft Office. The associate must practice excellent self-discipline and time management skills due to its remote nature.  The individual must remain calm under stress and must be able to appropriately respond to a disgruntled person during such occasions when necessary (i.e., internal and external customers and stakeholders). The associate routinely resolves coding edits and coding related denials by working from work queues for the respective specialty/responsibility assigned. This requires payer policy and coding guideline knowledge and research, as well as effective communication with billing staff on resolution steps. The associate is responsible for making coding related charge corrections/resubmission of claims where applicable.

1. Job Responsibilities

1.1 Responsible for auditing providers and other qualified healthcare professionals documentation to ensure accurate coding assignment

1.2  Assist with ongoing training of providers and other qualified healthcare professionals on documentation rules and regulations, as well as help with training/education of new staff when applicable

1.3  Assist in resolving billing issues related to accurate coding

1.4  Demonstrates the knowledge and skills necessary to optimally code inpatient and outpatient encounters.

1.5  Demonstrates knowledge of the various payment schemes, inpatient and outpatient encounters.

1.6  Demonstrates the ability to be flexible as to the type of encounter to be billed.

1.7  Is current on required continuing education course and is current with all coding updates.

1.8 

1.8  Reviews provider documentation to determine if appropriate CPT and ICD codesentered is supportive of the documentation provided. This includes  OP, IP, procedure notes and or

       surgical and consult notes (depending on coding assignment).

2.   Professionalism

2.1 Sets example of professionalism and promotes Vitruvian philosophy to ensure the quality and continuity of patient care at all times.

 Seeks creative and effective ways to problem solve.

 Assists providers with explanation and/or resolution of the concern regarding coding inquiries.

 Appropriately receives feedback for the purpose of improvement.

 Responds positively to situations requiring adaptability. Recognizes and includes appropriate stake holders in decision making process, escalating situations to management as appropriate. Collaborates with claims department members as appropriate. 2/10 Participates in own annual performance evaluation appraisal by identifying individual goals and reviewing yearly progress.

2.xx Responds to communications from other staff in a timely and professional manner.

3.  Characteristics, Knowledge, and Safety.3.1  Planning:  Anticipates needs, setting standards, scheduling work and measuring results.

3.2   Organizing/Time Management:  using time in an effective and efficient manner to proactively accomplish daily job tasks.

3.3   Analyzing/Problem Solving:  the ability to recognize and define problems and implement solutions to the problems while considering financial, human, and physical resources.

3.4   Decision Making:  initiating the decisions necessary to achieve desired results.      

3.5   Meeting Objectives:  demonstrates dedication to achieving goals and objectives of the organization.

3.6   Implementing Ideas:  accepting, encouraging and using ideas where feasible. 

3.7  Working with Others:  establishes effective business relationships and demonstrates integrity in dealing in all dealing with people with a good positive attitude.

3.8  Performs other duties as assigned.

4.1  Managing Expenses:  effectiveness in controlling expenses in supplies and time management.

4.2  Judgment:  soundness of conclusions, decisions, and actions.     

4.3  Dependability:  reliability in executing the commitments and obligations of the position by report for work on time.

4.4  Innovativeness:  effectiveness in creating, developing, and implementing any new technology.

4.5  Initiative:  ability to take action and get things done without being asked.  Assumes responsibility promptly and effectively.

4.6  Working Knowledge:  appropriate knowledge of methods and skills necessary to perform the job. responsibilities and an awareness of new developments in the medical field.

4.7  Team Building:  Works toward developing a team environment and participates as a team member.

4.8  Work Habits:  Practices safe work habits and encourages others to do the same.

4.9  Follow Up:  follow up on investigations by correcting the unsafe procedure, equipment, or environment.