Ambulatory Professional Fee and Hospitalist Coder

NorthBay Solutions

. Translate medical procedures and diagnoses into accurate ICD-10, CPT, and HCPCS codes in a hospital setting .

Posted 11/6/2026full-timeNapa • California • United StatesMid-LevelSenior💰 $42 - $51 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in ICD-10, CPT, and HCPCS coding within a multi-specialty hospital environment, ensuring compliance with coding guidelines and maximizing reimbursement. Proficient in EHR systems and medical record abstracting, with a strong focus on accuracy and regulatory adherence.

Highest-signal resume keywords

ICD-10 CodingCPT CodingHCPCS CodingCertified Professional Coder (CPC)Medical Record Abstracting

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Inpatient CodingEvaluation and Management CodingReimbursement MethodologiesCoding Guidelines ComplianceAnatomy and Physiology KnowledgeMedical TerminologyEncoder System ExperienceInsurance Requirements KnowledgeKeyboarding SkillsTechnical Aptitude

Soft Skills

Ability to Work IndependentlyTeam CollaborationAttention to DetailTime ManagementCommunication Skills

Tools & Technologies

EHR SystemsCernerMicrosoft OfficeComputer-Assisted Coding SystemsHigh-Speed Internet

Certifications & Qualifications

Certified Professional Coder (CPC)Certified Coding Specialist – Physician (CCS-P)Registered Health Information Technician (RHIT)Registered Health Information Administrator (RHIA)

Industry Keywords

Multi-Specialty CodingClinical Documentation IntegrityHIPAA ComplianceJoint Commission StandardsProfessional Fee Coding

Tech Stack

Tools & technologies

PHP

About the role

Key responsibilities & impact

Translate medical procedures and diagnoses into accurate ICD-10, CPT, and HCPCS codes in a hospital setting
Independently code inpatient records and assign physician, professional fee, surgical, and other hospital-based services
Assign appropriate CPT, ICD-10, and HCPCS codes and modifiers to maximize reimbursement and reduce denials
Work in a multi-specialty environment and assign physician Evaluation and Management levels
Collect visit information, analyze documentation, identify discrepancies, and query providers
Use EHR, medical record abstracting, encoding, and computer-assisted coding systems
Ensure coding accuracy and sequencing in compliance with coding guidelines, regulations, and payer requirements
Maintain current knowledge of coding and compliance requirements
Meet department productivity and quality standards
Abstract demographic and physician data for internal and regulatory reporting
Educate and support physicians on documentation and coding requirements
Collaborate with the Clinical Documentation Integrity program
Respond to audits and address findings
Report operational issues and recurring concerns to the Manager, Professional Fee Coding
Partner with Business Office staff to resolve billing and coding issues
Correct pending diagnoses and suspended reports
Track and report completed work, backlogs, physician education activities, and assigned responsibilities
Maintain coding certification and pursue continuing professional development
Protect patient confidentiality and health information under HIPAA
Comply with organizational, safety, Joint Commission, and regulatory requirements
Report to the office as required; failure to meet regulatory accuracy standards may result in return to an in-office work environment
Perform other assigned duties

Requirements

What you’ll need

High School Graduate or equivalent preferred
Certified Professional Coder (CPC), Certified Coding Specialist – Physician (CCS-P), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA)
Five or more years of continuous experience in multi-specialty professional fee hospital and clinical coding required
EMR medical records experience required
Experience with an encoder system preferred
Comprehensive knowledge and application of professional fee E&M guidelines for physician inpatient coding and billing
Knowledge of anatomy and physiology, medical terminology, disease processes, reimbursement methodologies (DRGs, HCCs, APCs), and ICD-10-CM, CPT, and HCPCS coding conventions, rules, and guidelines
Understanding of the clinical content of a health record
Knowledge of and experience with PCs, Cerner, and/or computer systems and programs highly desired
Microsoft Office: Email, Word, Excel
Comprehensive understanding of insurance requirements and compliance guidelines for Medicare, PHP, WHA, Medi-Cal, Workers’ Compensation, and commercial insurance
Ability and self-discipline to work remotely
Ability to work under continual deadlines and variable work requirements
Ability to work independently and in a team environment
Ability and desire to meet metrics after training
Technical aptitude to learn software and troubleshoot equipment
Adherence to established policies and procedures, attendance, and punctuality
Ability to sit for long periods
Ability to lift, push, or pull 5 pounds
Occasional bending, stooping, crouching, and reaching
Ability to concentrate and maintain accuracy despite frequent interruptions
Keyboarding skills
Full-time Monday–Friday daytime availability as assigned
Private, distraction-free home work area for HIPAA compliance
High-speed internet; at least 125 Mbps download speed or willingness to upgrade upon offer
Web-camera use for frequent team engagement and training

Benefits

Comp & perks

Medical, dental, and vision insurance
Life, disability, and long-term care coverage
Paid time off including vacation, sick leave, holidays, and bereavement
403(b) retirement plan with employer match
Education reimbursement for eligible roles
Professional development and training programs
Employee Assistance Program
Wellness programs
Recognition programs
Shift differentials
Market-based compensation review and increases subject to approval and organizational performance
Remote or hybrid work may be available based on business needs