Professional Services Coder II ROI Search Group - 4.0 Indianapolis, IN Job Details Full-time 20 hours ago Benefits 401(a) Health savings account 457(b) AD&D insurance Disability insurance Health insurance Dental insurance 401(k) Flexible spending account Paid time off Employee assistance program Vision insurance 403(b) Life insurance Retirement plan Pet insurance Qualifications National Correct Coding Initiative (NCCI) guidelines AHIMA Clinic experience Research High school diploma or GED Analysis skills Centers for Medicare & Medicaid Services (CMS) billing regulations Clinical documentation standards Full Job Description Our client is seeking a Professional Services Billing Coder II to join a prominent healthcare system in Indianapolis. This is a primarily remote position requiring onsite attendance at least once per quarter, with occasional additional onsite meetings as needed. Candidates must live within commuting distance of Indianapolis. The position offers flexible start times between 6:30 a.m. and 9:00 a.m., with core availability required from 9:00 a.m. to 3:00 p.m. to ensure appropriate team coverage and support. The Professional Services Billing Coder II is responsible for accurate, timely, and compliant coding, abstraction, and charge entry for professional services, with a primary focus on outpatient and office-based behavioral health services, including individual therapy, group therapy, and evaluation and management (E&M) services. They will work closely with the behavioral health billing team, making communication and collaborating important for this role. The Professional Services Billing Coder II requires a strong understanding of professional coding, payer requirements, and reimbursement guidelines ,

• including

ICD-10-CM, CPT, HCPCS, E&M

coding, medical necessity requirements, Local Coverage Determinations (LCDs), Correct Coding Initiative (CCI) edits, and payer-specific documentation requirements. The Professional Services Billing Coder

• II ensures services are appropriately coded and supported by documentation to promote compliant claims and accurate reimbursement. Working collaboratively with providers, billing, Accounts Receivable, and Revenue Cycle team members, the Professional Services Billing Coder helps resolve coding, documentation, charge, and claim-related issues. This position also provides coding guidance, participates in team discussions, and supports ongoing efforts to improve coding accuracy, compliance, and Revenue Cycle performance. Resumes may be submitted directly or via email to .

Key Responsibilities:

Accurately assign ICD-10-CM, CPT, HCPCS, and E&M codes for professional services in accordance with official coding guidelines, payer requirements, regulatory standards, and organizational policies. Perform coding, abstraction, and charge entry for professional behavioral health services, including individual therapy, group therapy, and other outpatient/office-based behavioral health services. Review provider documentation to ensure coding is complete, accurate, compliant, and appropriately supported by the medical record. Apply payer-specific coding and reimbursement requirements, including medical necessity guidelines, LCD policies, CCI edits, and other applicable billing rules. Identify documentation deficiencies and follow established processes to query providers for clarification or additional information needed to support accurate and compliant coding. Communicate with providers regarding coding and documentation questions and provide education or guidance on coding requirements when appropriate. Accurately capture charges based on supporting documentation and ensure charges and codes are appropriately integrated for billing. Collaborate with billing, Accounts Receivable, and Revenue Cycle team members to research and resolve coding, documentation, claim, reimbursement, and charge-related issues. Utilize applicable coding, billing, and electronic health record systems to retrieve documentation, assign and abstract codes, enter charges, and manage assigned work queues. Maintain established productivity, quality, and coding accuracy standards while effectively prioritizing workload and meeting departmental expectations. Stay current on coding guidelines, payer requirements, regulatory changes, reimbursement policies, and program-specific updates. Assist with the training and onboarding of new team members and serve as a coding resource to colleagues as needed. Identify opportunities to improve coding, documentation, charge capture, and Revenue Cycle processes and communicate recommendations to leadership.

Required Qualifications:

High school diploma or equivalent required. Strong knowledge of ICD-10-CM, CPT, HCPCS, and E&M coding guidelines and documentation requirements. Current coding credential from AHIMA or AAPC required. Minimum of three years of professional coding experience using ICD-10-CM, CPT, and HCPCS coding classification systems. Knowledge of behavioral health professional coding and reimbursement requirements. Understanding of payer-specific guidelines, medical necessity requirements, LCDs, CCI edits, and healthcare billing processes. Ability to interpret medical record documentation and determine appropriate coding and medical necessity support. Strong analytical and problem-solving skills with the ability to research and resolve complex coding and documentation issues. Excellent written and verbal communication skills with the ability to communicate coding requirements effectively with providers, billing teams, and other stakeholders. Ability to work independently, exercise sound professional judgment, and adjust priorities to meet operational and departmental goals. Ability to work collaboratively as part of a team and contribute to process and quality improvements.

Preferred Qualifications:

Experience coding in a physician practice, behavioral/mental health practice, clinic, or comparable professional services environment preferred. Epic experience strongly preferred. Behavioral health professional coding experience is strongly preferred, particularly outpatient/office-based services such as group therapy and individual therapy. Experience with clinical documentation improvement, concurrent coding, denials, charge capture, and/or Revenue Cycle processes preferred. Familiarity with computerized coding and abstracting systems and electronic health records. Experience with dental, vision, and/or DME coding is a plus.

Benefits:

The organization offers a comprehensive benefits package designed to support employees' health, financial well-being, and work-life balance, including: Medical, dental, and vision insurance Health Savings Account (HSA) and Flexible Spending Account (FSA) Short-Term Disability (STD) and Long-Term Disability (LTD) insurance Life and Accidental Death & Dismemberment (AD&D) insurance Critical illness insurance Pet insurance Norton LifeLock identity theft protection Employee Assistance Program Generous Paid Time Off (PTO) program that begins accruing with the first pay period, with carryover and cash-in provisions available Retirement savings plans, including 401(a), 457(b), and 403(b) plans with employer contribution

About ROI Search Group:

ROI Search Group is a staffing and executive search firm based near Indianapolis, IN, specializing in direct hire, contract, and contract-to-hire placements, along with executive and specialized searches. Our proven methodology allows us to attract top talent while supporting candidates in their career progression. By aligning with the priorities of both clients and candidates, we create long-term, successful partnerships. At ROI Search Group, we are dedicated to providing exceptional staffing and executive search solutions that drive organizational growth and career advancement. We take pride in our commitment to excellence, integrity, and building meaningful professional connections.

Benefits:

401(k) Dental insurance Employee assistance program Flexible spending account Health insurance Health savings account Life insurance Paid time off Retirement plan Vision insurance People with a criminal record are encouraged to apply

Work Location:

Hybrid remote in Indianapolis, IN 46204