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Hazel Park urgent Care

Job Title: Experienced Family Practice Certified Medical Coder (Remote &ndash; Pakistan)Company: Hazel Park Primary and Urgent Care Location: Remote (Pakistan Only) Employment Type: Full-Time Experience Required: Minimum 4+ Years in Family Practice CodingJob SummaryWe are seeking an experienced and detail-oriented Certified Medical Coder with a strong background in Family Practice coding to join our growing healthcare team. This is a fully remote position based in Pakistan. The ideal candidate must have at least 4 years of hands-on coding experience specifically in Family Medicine/Primary Care settings and demonstrate strong knowledge of U.S. billing guidelines and compliance standards.Requirements<ul><li>Minimum 4+ years of recent experience in Family Practice / Primary Care coding</li><li>Active certification (CPC, CCS, or equivalent)</li><li>Strong knowledge of:</li><li>CPT, ICD-10-CM, and HCPCS coding</li><li>E/M coding guidelines (including 2021+ updates)</li><li>Preventive visits, chronic care management, AWVs</li><li>Modifier usage (25, 59, 95, etc.)</li><li>Telehealth billing guidelines</li><li>Experience reviewing provider documentation (SOAP notes) for accuracy and compliance</li><li>Ability to identify undercoding and overcoding issues</li><li>Familiarity with U.S. insurance payers (Commercial, Medicare, Medicaid)</li><li>Strong understanding of medical terminology, anatomy, and pharmacology</li><li>Excellent attention to detail and accuracy</li><li>Strong written and verbal English communication skills</li><li>Reliable high-speed internet and quiet home workspace</li></ul>Responsibilities<ul><li>Review and accurately code Family Practice encounters</li><li>Ensure compliance with federal and payer-specific guidelines</li><li>Audit provider documentation and provide feedback when needed</li><li>Identify missed charges and revenue opportunities</li><li>Assist with denial analysis and corrections</li><li>Maintain productivity and accuracy standards</li><li>Work collaboratively with billing and clinical teams</li></ul>Preferred Qualifications<ul><li>Experience with U.S.-based urgent care or primary care clinics</li><li>Familiarity with Practice Fusion or similar EHR systems</li><li>Experience performing coding audits</li></ul>Compensation<ul><li>Competitive salary based on experience</li><li>Long-term remote opportunity</li><li>Opportunity for growth within expanding U.S. healthcare organization</li></ul>How to ApplyPlease submit:<ul><li>Updated resume</li><li>Copy of certification</li><li>Brief summary of your Family Practice coding experience</li><li>Your expected monthly salary</li></ul>Only candidates with 4+ years of direct Family Practice coding experience will be considered.Job Type: Full-timeApplication Question(s):<ul><li>A 68-year-old Medicare patient presents for follow-up of:</li></ul>Type 2 diabetes (uncontrolled, A1C 9.2) Hypertension (stable) CKD stage 3 Provider adjusts insulin dosage and orders labs (BMP, A1C, urine microalbumin).Question: What level of MDM does this visit qualify for under 2021+ E/M guidelines and why?<ul><li>Patient presents for:</li></ul>Annual wellness visit (Medicare AWV)Complains of new onset severe knee painProvider performs AWV and also evaluates knee pain, orders X-ray, and prescribes NSAIDs.Question: How would you code this visit? Would modifier 25 apply? Explain your reasoning.<ul><li>A 45-year-old patient comes in for an annual physical. During the visit, they report worsening migraines requiring medication adjustment.</li></ul>Question: When can you bill both a preventive visit and a problem-oriented E/M? What documentation is required?<ul><li>A provider documents:</li></ul>3 chronic stable conditionsReviews labs from last weekContinues medicationsNo new testing orderedThey selected 99215.Question: Is this appropriate? Why or why not? What level would you assign?<ul><li>Under 2021 MDM rules, what counts as:</li></ul>Category 1 data?Category 2 data?Category 3 data?Give examples relevant to Family Practice.<ul><li>Which of the following qualifies as moderate risk?</li></ul>A) OTC medication recommendation B) Prescription drug management C) Minor procedure with no risk factors D) One stable chronic illnessExplain your answer.<ul><li>What is the difference between:</li></ul>G0402G0438G0439Can these be billed with 99214? When?<ul><li>Provider documents:</li></ul>Acute bronchitisDiabetes uncontrolledHypertension stableReviews chest X-ray from ERPrescribes antibiotics and adjusts insulinNo independent interpretation. No discussion with external physician.What E/M level would you code and why? Break down each MDM element.<ul><li>Claim denied for:</li></ul>&ldquo;Invalid modifier usage&rdquo;99214 + 93000 + 25What could be wrong? How would you correct it?<ul><li>Explain:</li></ul>What CPT II codes are used forWhether they are reimbursableWhy they matter for Family Practice clinics<ul><li>A patient with diabetes had:</li></ul>A1C performed this monthResult: 8.4%What CPT II code(s) would apply?What if the A1C was:&lt;7%7&ndash;9%9%<ul><li>Patient seen for hypertension. BP documented as:</li></ul>128/78What CPT II code applies?What if BP was 152/92?<ul><li>Provider documents:</li></ul>Tobacco screening performedPatient is a smokerCounseling providedWhat CPT II codes apply?<ul><li>Annual depression screening performed using PHQ-9.</li></ul>What CPT II code is reported?<ul><li>Are CPT II codes:</li></ul>A) Required by CMS B) Mandatory for claim payment C) Used for HEDIS / MIPS reporting D) Reimbursed separatelyExplain your answer.Work Location: Remote

Experienced Family Practice Certified Medical Coder (Remote – Pakistan)

Join Hazel Park urgent Care and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

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Experienced Family Practice Certified Medical Coder (Remote – Pakistan)