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

Description

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.

Coders may support single-specialty or multi-specialty engagements depending on client needs and experience.

Requirements

Core Responsibilities (Sage Standards)

• •Review provider documentation to assign accurate CPT, HCPCS, and ICD-10-CM codes
• •Ensure documentation supports coded services and identify discrepancies
• •Apply appropriate modifiers, NCCI edits, and payer-specific coding rules
• •Ensure compliance with CMS, AMA, and payer guidelines
• •Maintain =95% coding accuracy and meet established productivity standards
• •Identify documentation gaps and escalate for clarification when needed
• •Participate in quality reviews, audits, and ongoing coding education

Minimum Qualifications (Sage Requirements)

• •Credential: CPC, CCS-P, RHIA, or RHIT (active and in good standing)
• •Experience:
• •Minimum 2–3+ years professional fee coding experience
• •Experience in hospital-based or physician practice environments preferred
• •Strong knowledge of CPT, HCPCS, ICD-10-CM, modifiers, and NCCI edits
• •Familiarity with payer policies and coding guidelines
• •Ability to work independently in a remote environment
• •High attention to detail with consistent quality performance

Work Model

• •100% remote
• •Independent, production-focused environment with defined quality expectations
• •Collaboration with coding, audit, and client teams

Employment Tracks

Full-Time (FT):

Standard weekday coverage aligned to client volumes

PRN / Part-Time:

Flexible scheduling to support backlog, specialty needs, or project-based work

Specialty Alignment (Core to Role Placement)

Coders are aligned to engagements based on demonstrated specialty experience. One or more specialties may be required.

Surgical Specialties (Highest Complexity)

• •Cardiothoracic Surgery
• •Vascular Surgery
• •General Surgery
• •Orthopedic Surgery
• •Neurosurgery
• •Surgical Oncology
• •Plastics / Reconstructive
• •Colorectal, Urology, ENT

Additional Expectations:

• •Strong experience reviewing operative reports and procedural documentation
• •Advanced modifier application (e.g., co-surgeon, assistant, multiple procedures)
• •Deep understanding of NCCI edits and bundling rules
• •Ability to independently code complex surgical cases

Medical & E/M-Based Specialties

• •Internal Medicine / Family Medicine
• •Cardiology (E&M and/or procedural)
• •Gastroenterology
• •Pulmonary, Nephrology, Endocrinology
• •Infectious Disease, Rheumatology
• •Neurology, Psychiatry

Additional Expectations:

• •Strong knowledge of E&M leveling and documentation requirements
• •Accurate capture of chronic conditions and medical necessity
• •Ability to validate completeness and appropriateness of provider documentation

Diagnostic & Ancillary Specialties

• •Radiology
• •Pathology
• •Anesthesiology
• •Radiation Oncology

Additional Expectations:

• •Understanding of specialty-specific coding structures
• •Accurate use of modifiers specific to professional services (e.g., component billing)
• •Consistency in applying coding conventions across high-volume workflows

General Client Expectations

• •Ability to code independently within assigned specialty or specialties
• •Consistent delivery of =95% coding quality and aligned productivity standards
• •Adaptability to varying client workflows, systems, and documentation practices
• •Effective communication with internal teams and client stakeholders

Why Sage Clinical RCM

• •Exposure to diverse specialties and complex health system environments
• •Flexible work options (FT, PT, and PRN)
• •Quality-driven culture with realistic expectations
• •Opportunity to expand into QA, audit, education, and advisory services