<p>This fully remote Physician Services Coder II — Denials Coding position is based out of Frisco, TX and serves a large, multi-specialty physician services coding operation. The role centers on ICD-10, CPT, and HCPCS code assignment with a specific focus on resolving coding denials and pre-bill edits across evaluation and management, radiology, and emergency department service lines. Coders who thrive on accuracy, denial resolution, and working within a structured, audit-driven environment will find this a strong fit.</p>
<h3>Perks and Benefits</h3> <ul> <li>Hourly pay range: $20.51 – $30.77; compensation determined by location, qualifications, and experience</li> <li>Signing bonus available for qualified new hires, subject to employment status</li> <li>401(k) retirement plan with up to 6% employer match</li> <li>Medical, dental, vision, disability, and life insurance</li> <li>Paid time off (vacation and sick leave) — minimum 12 days per year, accruing at approximately 1.84 hours per 40 hours worked</li> <li>10 paid holidays per year; observed holidays compensated at time-and-a-half</li> <li>Health savings accounts (HSA); healthcare and dependent flexible spending accounts (FSA)</li> <li>Employee Assistance Program and employee discount program</li> <li>Voluntary benefits: pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare support, AD&D, auto and home insurance</li> <li>Colorado employees receive paid leave in accordance with Colorado's Healthy Families and Workplaces Act</li> </ul>
<h3>Practice Highlights</h3> <ul> <li>Fully remote position supporting physician services coding across multiple specialties</li> <li>Primary coding scope: evaluation and management (multi-specialty), radiology, and emergency department</li> <li>Assigns ICD-10-CM, CPT, HCPCS Level II codes, and modifiers directly from medical record documentation</li> <li>Dedicated denial resolution workflow — reviews and resolves coding denials and pre-bill coding edits</li> <li>Applies CCI (Correct Coding Initiative), LCD (Local Coverage Determinations), NCD (National Coverage Determinations), and client-specific coding guidelines</li> <li>Productivity and accuracy tracked via monthly internal audits; required accuracy threshold is 95.5% or above</li> <li>Assignments must be completed before monthly closing dates, requiring strong deadline management</li> <li>Collaborative team environment with expectation to present coding issues to internal teams and external clients in one-on-one and small group settings</li> </ul>
<h3>Qualifications</h3> <ul> <li>CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist – Physician-based), or equivalent certification required</li> <li>Minimum 3–5 years of physician services coding experience</li> <li>Vocational or technical education beyond high school</li> <li>Demonstrated working knowledge of medical terminology, human anatomy, and coding rules and regulations</li> <li>Solid understanding of third-party reimbursement regulations, billing practices, CCI edits, LCDs, and NCDs</li> <li>Proficiency in Microsoft Word and Excel</li> <li>Strong attention to detail with demonstrated ability to identify, analyze, and resolve coding problems</li> <li>Ability to communicate clearly and work effectively within a team-based, remote environment</li> <li>Pre-employment vaccination and screening requirements apply as permitted by law, including COVID-19 and influenza vaccinations</li> </ul>
<h3>About the Community</h3> <p>This position is fully remote, making it accessible to qualified coders nationwide regardless of physical location. The role is administratively anchored in Frisco, TX — a rapidly growing suburb north of Dallas known for its highly rated school districts, master-planned communities, and proximity to the cultural and professional amenities of the Dallas–Fort Worth metroplex. For candidates who prefer to work from home while remaining connected to a large, well-resourced healthcare organization, this role offers that balance without geographic restriction.</p>