Professional Coder

Who We Are: Xtensys is a rapidly growing managed service provider delivering innovative technology solutions to health systems, beginning in New York and expanding nationwide. Owned by two industry leaders with a strong focus on advancing rural and community healthcare, Xtensys is executing several major initiatives and scaling quickly. With a team of more than 500 professionals, we are building a people-centered culture rooted in collaboration, innovation, and strategic thinking. We are seeking an experienced Professional Coder to support our continued growth and commitment to delivering exceptional client outcomes. Work Arrangement: This position is 100% remote Job Summary: Under the direction of the Revenue Cycle Supervisor and Manager, the Certified Professional Coder is responsible for accurately coding a wide range of clinical services across multiple specialties, including outpatient and inpatient services, procedures, admissions, consults, and critical care. This role ensures the appropriate application of CPT, ICD-10-CM, HCPCS codes, and modifiers in compliance with regulatory standards. The position also supports provider education by offering guidance on documentation requirements, billing practices, and compliance, while assisting in the resolution of coding and documentation issues. The ideal candidate demonstrates strong attention to detail, accuracy in medical record review, and the ability to effectively communicate with physicians and healthcare staff. This role operates within a collaborative yet independent Revenue Cycle team environment, contributing to the achievement of departmental goals through flexibility and teamwork. Key Responsibilities: - Manage and maintain Epic work queues, including coding and denial queues, ensuring timely review and resolution to support efficient account processing. - Collaborate with departments across the Medical Centers, including physicians and healthcare providers, to clarify documentation and ensure accurate code assignment. - Participate in required annual training and engage in ongoing professional development through AAPC and AHIMA webinars to stay current on coding guidelines and specialty updates. - Review and interpret medical records to accurately assign codes for diagnoses, procedures, and services. - Identify and escalate documentation gaps, initiating appropriate actions to ensure compliance with coding standards under the guidance of the Coding Manager. - Meet established departmental quality and productivity benchmarks. - Ensure all coding practices adhere to applicable regulations and guidelines, including HIPAA, Medicare, and payer-specific requirements. Who You Are & What You’ll Bring: - One or more years of professional coding experience in a physician billing environment preferred. - Strong working knowledge of ICD-10, CPT-4, and HCPCS coding, including current E/M guidelines and requirements. - Familiarity with reimbursement and billing practices for Medical Part B, Medicaid, and other third-party payers. - High level of accuracy and efficiency in data entry and medical record review. - Experience with Epic or similar electronic health record systems is a plus. Education/Certifications: - High school diploma required - Professional medical coding certification with AAPC or AHIMA required, such as RHIT, CCS, CPC, etc. Physical Requirements - Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, and pulling objects. Sitting most of the time, walking and standing required only occasionally.