ProFee Inpatient Coding Specialist III

. Collaborate with ancillary or specialty departments, locations, and providers to code, review, and release charges promptly .

Posted 10/15/2026full-timeRemote • Wisconsin • United StatesMid-LevelSeniorWebsite

Key responsibilities & impact

Collaborate with ancillary or specialty departments, locations, and providers to code, review, and release charges promptly
Ensure correct coding, billing compliance, and complete charge capture
Collaborate with providers and departmental staff and leaders on coding and charge capture questions
Assign or verify CPT, ICD-10-CM coding, and modifiers based on documentation
Serve as subject matter expert in one or more specialties and cover multiple surgical, medical, ambulatory, and procedural coding areas
Ensure compliance with official coding guidelines
Resolve charge edits according to established policies and procedures
Monitor charge capture volumes and work queues
Support department leaders, administrators, clinical staff, and revenue cycle staff with consistent and accurate charge capture
Work with clinic staff and providers to resolve missing or unclear billing information
Query providers and coordinate responses to provider questions
Identify coding trends and educational opportunities
Identify opportunities to reduce denials
Develop and maintain protocols and processes for assigned responsibilities
Maintain understanding of teaching physician and provider documentation policies
Train other coders on new departments or specialties as needed

What you’ll need

Three years of experience coding Pro-Fee Inpatient E/M services for multi-specialty required
NICU experience preferred
Experience coding bedside procedures in the inpatient setting
Experience working claim edits and denials
Epic experience preferred
One of the following certifications: CPC (Certified Professional Coder), CCS-P (Certified Coding Specialist Physician Based), CCS (Certified Coding Specialist), or RHIT (Registered Health Information Technician)
High School graduate, GED, or HSED required
Knowledge of ICD-10, CPT, and HCPCS coding guidelines
Working knowledge of CCI edits, healthcare insurance guidelines, and other regulatory guidance
Prior use of an Electronic Health Record
Excellent oral and written communication skills
Ability to work independently, exercise independent judgment, and solve problems effectively
Specialty Coding knowledge

Comp & perks