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Urgent Care Coder – PRN
Healthrise. Performs day-to-day professional-fee coding for urgent care partner organizations on a PRN (as-needed) basis .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in professional-fee coding for urgent care, including proficiency in CPT, HCPCS, ICD-10-CM, and E/M guidelines. Maintains compliance with coding standards and effectively communicates with providers to ensure accurate documentation and claims processing.
Highest-signal resume keywords
CPT CodingICD-10-CM CodingHCPCS Level II CodingProfessional Coding Credential (CPC, CCS, CCS-P)Attention to Detail
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CPT CodingICD-10-CM CodingHCPCS Level II CodingE/M GuidelinesModifier ApplicationNCCI EditsClaims Data TranslationCoding ComplianceDocumentation ReviewProductivity Benchmarking
Soft Skills
Excellent CommunicationOrganizational SkillsAttention to DetailTime Management
Tools & Technologies
EHR Platforms (Epic, athenahealth, eClinicalWorks, Cerner/Oracle Health, 3M, Optum)
Certifications & Qualifications
CPCCCSCCS-PCertified Emergency Department Coder (CEDC)Certified Evaluation and Management Coder (CEMC)
Industry Keywords
Urgent Care CodingEmergency Department CodingAmbulatory CodingProfessional-Fee CodingHIPAA Compliance
Tech Stack
Tools & technologiesOracle
About the role
Key responsibilities & impact- Performs day-to-day professional-fee coding for urgent care partner organizations on a PRN (as-needed) basis
- Translates urgent care visit documentation into accurate, compliant claims data to support clean claims and reduce downstream denials
- Provides flexible coding capacity during volume surges, coverage gaps, and backlog reduction
- Reviews urgent care encounter documentation and assigns accurate CPT, HCPCS, ICD-10-CM, and applicable modifier codes
- Assigns evaluation and management (E/M) levels based on current AMA guidelines for medical decision making or total time
- Codes urgent care procedures and services, including laceration repair, incision and drainage, fracture and splint care, injections and infusions, vaccines, in-house laboratory testing, and point-of-care imaging
- Applies modifiers appropriately, including -25, -59, and laterality modifiers, and reports supplies and drug administration (HCPCS J-codes) when supported by documentation
- Meets established productivity and accuracy benchmarks
- Queries providers when documentation is unclear, incomplete, or conflicting, and tracks query responses to resolution
- Applies NCCI edits, CMS and AMA guidelines, and payer-specific policies to ensure compliant coding
- Maintains the confidentiality and security of PHI in accordance with HIPAA and client requirements
- Accepts and completes assignments within agreed turnaround times, communicating availability and capacity clearly to project leadership
- Ramps quickly on client-specific coding policies, EHR workflows, and billing models for each assignment
- Participates in quality audits, feedback sessions, and ongoing education, and incorporates feedback into daily work
- Identifies and escalates trends in denials, documentation gaps, or coding issues to project leadership
- Documents all actions and query outcomes in the client’s coding and billing systems
- Performs other duties as assigned
Requirements
What you’ll need- Active professional coding credential in good standing, such as CPC, CCS, or CCS-P
- Minimum of two (2) years of recent, hands-on urgent care, emergency department, or ambulatory professional-fee coding experience
- Working knowledge of CPT, HCPCS Level II, ICD-10-CM, E/M guidelines, modifiers, and NCCI edits
- Ability to accept short-notice assignments and meet agreed turnaround times
- Located in and authorized to work in the United States
- Reliable high-speed internet and a secure workspace that meets HIPAA requirements
- Excellent written and verbal communication and organizational skills
- Attention to detail, accuracy, and time management
- Preferred: Certified Emergency Department Coder (CEDC) or Certified Evaluation and Management Coder (CEMC)
- Preferred: Experience coding occupational medicine, workers’ compensation, or self-pay urgent care visits
- Preferred: Experience with major EHR and encoder platforms (Epic, athenahealth, eClinicalWorks, Cerner/Oracle Health, 3M, Optum, or equivalent)
- Preferred: Prior PRN, contract, or project-based coding experience
- Preferred: Demonstrated accuracy rate of 95% or higher
- Preferred: Completion of regulatory/mandatory certifications
Benefits
Comp & perks- PRN (as-needed) engagement
- Flexible coding capacity during volume surges, coverage gaps, and backlog reduction
- Ongoing education
- Participation in quality audits and feedback sessions