Experienced Family Practice Certified Medical Coder (Remote – Pakistan)

Job Title: Experienced Family Practice Certified Medical Coder (Remote – Pakistan)

Company: Hazel Park Primary and Urgent Care
Location: Remote (Pakistan Only)
Employment Type: Full-Time
Experience Required: Minimum 4+ Years in Family Practice Coding

Job Summary

We 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

• Minimum 4+ years of recent experience in Family Practice / Primary Care coding
• Active certification (CPC, CCS, or equivalent)
• Strong knowledge of:
• CPT, ICD-10-CM, and HCPCS coding
• E/M coding guidelines (including 2021+ updates)
• Preventive visits, chronic care management, AWVs
• Modifier usage (25, 59, 95, etc.)
• Telehealth billing guidelines
• Experience reviewing provider documentation (SOAP notes) for accuracy and compliance
• Ability to identify undercoding and overcoding issues
• Familiarity with U.S. insurance payers (Commercial, Medicare, Medicaid)
• Strong understanding of medical terminology, anatomy, and pharmacology
• Excellent attention to detail and accuracy
• Strong written and verbal English communication skills
• Reliable high-speed internet and quiet home workspace

Responsibilities

• Review and accurately code Family Practice encounters
• Ensure compliance with federal and payer-specific guidelines
• Audit provider documentation and provide feedback when needed
• Identify missed charges and revenue opportunities
• Assist with denial analysis and corrections
• Maintain productivity and accuracy standards
• Work collaboratively with billing and clinical teams

Preferred Qualifications

• Experience with U.S.-based urgent care or primary care clinics
• Familiarity with Practice Fusion or similar EHR systems
• Experience performing coding audits

Compensation

• Competitive salary based on experience
• Long-term remote opportunity
• Opportunity for growth within expanding U.S. healthcare organization

How to Apply

Please submit:

• Updated resume
• Copy of certification
• Brief summary of your Family Practice coding experience
• Your expected monthly salary

Only candidates with 4+ years of direct Family Practice coding experience will be considered.

Job Type: Full-time

Application Question(s):

• A 68-year-old Medicare patient presents for follow-up of:

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?

• Patient presents for:

Annual wellness visit (Medicare AWV)

Complains of new onset severe knee pain

Provider 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.

• A 45-year-old patient comes in for an annual physical. During the visit, they report worsening migraines requiring medication adjustment.

Question:
When can you bill both a preventive visit and a problem-oriented E/M? What documentation is required?

• A provider documents:

3 chronic stable conditions

Reviews labs from last week

Continues medications

No new testing ordered

They selected 99215.

Question:
Is this appropriate? Why or why not? What level would you assign?

• Under 2021 MDM rules, what counts as:

Category 1 data?

Category 2 data?

Category 3 data?

Give examples relevant to Family Practice.

• Which of the following qualifies as moderate risk?

A) OTC medication recommendation
B) Prescription drug management
C) Minor procedure with no risk factors
D) One stable chronic illness

Explain your answer.

• What is the difference between:

G0402

G0438

G0439

Can these be billed with 99214? When?

• Provider documents:

Acute bronchitis

Diabetes uncontrolled

Hypertension stable

Reviews chest X-ray from ER

Prescribes antibiotics and adjusts insulin

No independent interpretation. No discussion with external physician.

What E/M level would you code and why?
Break down each MDM element.

• Claim denied for:

“Invalid modifier usage”

99214 + 93000 + 25

What could be wrong? How would you correct it?

• Explain:

What CPT II codes are used for

Whether they are reimbursable

Why they matter for Family Practice clinics

• A patient with diabetes had:

A1C performed this month

Result: 8.4%

What CPT II code(s) would apply?

What if the A1C was:

<7%

7–9%

9%

• Patient seen for hypertension. BP documented as:

128/78

What CPT II code applies?

What if BP was 152/92?

• Provider documents:

Tobacco screening performed

Patient is a smoker

Counseling provided

What CPT II codes apply?

• Annual depression screening performed using PHQ-9.

What CPT II code is reported?

• Are CPT II codes:

A) Required by CMS
B) Mandatory for claim payment
C) Used for HEDIS / MIPS reporting
D) Reimbursed separately

Explain your answer.

Work Location: Remote