Job Description
Job Description
This is a remote position.
Contract Assignment – Healthcare System (Epic EHR)
Overview
We’re seeking a Certified Professional Coder (CPC) with hands-on front-end Epic operational experience to support a health system’s day-to-day coding workflows. This contractor will perform professional coding activities directly within Epic’s end-user workflows (e.g., encounter completion, charge entry, charge review workqueues) to ensure accurate, timely, and compliant coding and charge capture.
Responsibilities
- Review clinical documentation and assign CPT / HCPCS, ICD-10-CM codes within Epic at the point of coding (front end), ensuring compliance with payer guidelines and health system policies.
- Work in Epic workqueues (e.g., Charge Review, Claim Edit, Coding WQs) to resolve edits, denials, and holds; clear daily queues to meet turnaround goals.
- Validate medical necessity and modifier usage; correct charge router / charge session issues before billing.
- Collaborate with revenue cycle , clinic operations , and providers to clarify documentation and close coding gaps.
- Apply payer-specific rules and NCCI edits , LCD / NCD guidance, and organizational coding standards.
- Monitor and reduce charge lag and DNFB by proactively addressing front-end coding defects.
- Document coding rationales and maintain clear audit trails within Epic.
- Meet or exceed productivity and accuracy benchmarks; support internal and external audits.
- Escalate systemic issues (template gaps, SmartTool opportunities, recurring edits) and suggest fixes to improve first-pass yield.
RequirementsRequired Qualifications
Active CPC (AAPC) or CCS-P (AHIMA) certification.1–3+ years of recent professional (pro-fee / outpatient) coding experience.Epic operational proficiency in front-end workflows (e.g., Visit Navigator, charge entry, workqueues, encounter closure, claim edit).Strong knowledge of ICD-10-CM, CPT, HCPCS , modifiers, and payer policies.Demonstrated ability to interpret provider documentation and align it to compliant codes.Understanding of NCCI edits , E / M guidelines (2021+), and medical necessity rules.Excellent attention to detail, time management, and written communication.HIPAA and confidentiality adherence.Preferred Qualifications
Prior work in a health system using Epic Professional Billing (PB) and / or Ambulatory modules.Experience with specialty coding (e.g., primary care, cardiology, general surgery, orthopedics).Familiarity with charge router workflows, claim edit resolution, and payer-specific clearinghouse edits.Exposure to denials management and root-cause correction in front-end processes.Key Performance Indicators (KPIs)
Coding accuracy : ≥95–98% (audit-validated)Productivity : X encounters / day (set per specialty mix)Turnaround time : Same-day or ≤48 hours from documentation completionCharge lag : Maintained within health system targetFirst-pass claim rate : Meets / Exceeds organizational benchmarkTools & Environment
Epic EHR (front-end operational workflows : Visit Navigator, charge entry, WQs, claim edit).Coding references (e.g., AAPC , CPT Assistant , ICD-10 guidelines), payer portals, and internal policy manuals.Secure communication tools for provider queries and clarifications.Engagement Details
Type : Contract (1099 or W-2)Schedule : Full-time (preferred); part-time considered based on queue volumeLocation : Remote; reliable high-speed internet required for remote workDuration : 3 months, with potential extensionReporting To : Coding Manager / Revenue Integrity LeadCompliance
Maintain current certification and CEUs.Adhere to HIPAA , organizational policies, and ethical coding standards at all times.