Professional Fee Coder (ProFee) (Remote | FT, PT, or PRN)

<strong>Description:<br><br></strong>The Professional Fee (ProFee) Coder is responsible for reviewing provider documentation and assigning accurate CPT, HCPCS, and ICD-10-CM codes for physician services. This role supports compliant coding, accurate charge capture, and overall revenue integrity across a variety of specialties and client environments.<br><br>Coders may support <strong>single-specialty or multi-specialty engagements</strong> depending on client needs and experience.<br><br><strong>Requirements:<br><br></strong><strong>Core Responsibilities (Sage Standards)<br><br></strong><ul><li>Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes </li><li>Ensure documentation supports coded services and identify discrepancies </li><li>Apply appropriate modifiers, NCCI edits, and payer-specific coding rules </li><li>Ensure compliance with CMS, AMA, and payer guidelines </li><li>Maintain =95% coding accuracy and meet established productivity standards </li><li>Identify documentation gaps and escalate for clarification when needed </li><li>Participate in quality reviews, audits, and ongoing coding education <br><br></li></ul><strong><strong>Minimum Qualifications (Sage Requirements)<br><br></strong></strong><ul><li>Credential: CPC, CCS-P, RHIA, or RHIT (active and in good standing) </li><li>Experience: </li><li>Minimum 2–3+ years professional fee coding experience </li><li>Experience in hospital-based or physician practice environments preferred </li><li>Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, and NCCI edits </li><li>Familiarity with payer policies and coding guidelines </li><li>Ability to work independently in a remote environment </li><li>High attention to detail with consistent quality performance <br><br></li></ul><strong>Work Model<br><br></strong><ul><li>100% remote </li><li>Independent, production-focused environment with defined quality expectations </li><li>Collaboration with coding, audit, and client teams <br><br></li></ul><strong>Employment Tracks<br><br></strong><strong><strong>Full-Time (FT):<br><br></strong></strong><ul><li>Standard weekday coverage aligned to client volumes <br><br></li></ul><strong><strong>PRN / Part-Time:<br><br></strong></strong><ul><li>Flexible scheduling to support backlog, specialty needs, or project-based work <br><br></li></ul><strong>Specialty Alignment (Core to Role Placement)<br><br></strong>Coders are aligned to engagements based on demonstrated specialty experience. One or more specialties may be required.<br><br><strong>Surgical Specialties (Highest Complexity)<br><br></strong><ul><li>Cardiothoracic Surgery </li><li>Vascular Surgery </li><li>General Surgery </li><li>Orthopedic Surgery </li><li>Neurosurgery </li><li>Surgical Oncology </li><li>Plastics / Reconstructive </li><li>Colorectal, Urology, ENT <br><br></li></ul><strong><strong>Additional Expectations:<br><br></strong></strong><ul><li>Strong experience reviewing operative reports and procedural documentation </li><li>Advanced modifier application (e.g., co-surgeon, assistant, multiple procedures) </li><li>Deep understanding of NCCI edits and bundling rules </li><li>Ability to independently code complex surgical cases <br><br></li></ul><strong>Medical & E/M-Based Specialties<br><br></strong><ul><li>Internal Medicine / Family Medicine </li><li>Cardiology (E&M and/or procedural) </li><li>Gastroenterology </li><li>Pulmonary, Nephrology, Endocrinology </li><li>Infectious Disease, Rheumatology </li><li>Neurology, Psychiatry <br><br></li></ul><strong><strong>Additional Expectations:<br><br></strong></strong><ul><li>Strong knowledge of E&M leveling and documentation requirements </li><li>Accurate capture of chronic conditions and medical necessity </li><li>Ability to validate completeness and appropriateness of provider documentation <br><br></li></ul><strong>Diagnostic & Ancillary Specialties<br><br></strong><ul><li>Radiology </li><li>Pathology </li><li>Anesthesiology </li><li>Radiation Oncology <br><br></li></ul><strong><strong>Additional Expectations:<br><br></strong></strong><ul><li>Understanding of specialty-specific coding structures </li><li>Accurate use of modifiers specific to professional services (e.g., component billing) </li><li>Consistency in applying coding conventions across high-volume workflows <br><br></li></ul><strong>General Client Expectations<br><br></strong><ul><li>Ability to code independently within assigned specialty or specialties </li><li>Consistent delivery of =95% coding quality and aligned productivity standards </li><li>Adaptability to varying client workflows, systems, and documentation practices </li><li>Effective communication with internal teams and client stakeholders <br><br></li></ul><strong>Why Sage Clinical RCM<br><br></strong><ul><li>Exposure to diverse specialties and complex health system environments </li><li>Flexible work options (FT, PT, and PRN) </li><li>Quality-driven culture with realistic expectations </li><li>Opportunity to expand into QA, audit, education, and advisory services</li></ul>

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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