Ambulatory Professional Fee and Hospitalist Coder (On-Site, Hybrid, Remote)
NorthBay Health · Fairfield
Work Location Requirement:
This position may be performed onsite or remotely; however, onsite work is preferred based on business needs. Preference will be given to qualified candidates who are able to work onsite and are located within a reasonable commuting distance.
Remote Work Eligibility:
This position is open to candidates located within the continental United States. Due to state-specific employment requirements and workers’ compensation regulations, we are unable to support remote work arrangements in the following locations: Washington, Ohio, Wyoming, North Dakota, Puerto Rico, and the U.S. Virgin Islands.
At Northbay Health, the Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner in the hospital setting. Our ideal candidate is a dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. Can effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements.
Abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital’s abstracting system. Work is performed using the approved classification Coding systems to include the modifiers. All work carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA.
American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare coding guidelines.
Primary Job Duties
- Independently performs coding of patients’ inpatient records to ensure accurate assignment of physician, professional fee, surgical, and other hospital-based services using the most appropriate CPT, ICD-10, and HCPCS codes in accordance with CMS, Coding Clinic, and other regulatory guidelines. Adds modifiers as appropriate to maximize reimbursement and reduce denials.
- Must have experience working in a multi-specialty environment and assigning physician Evaluation and Management (E&M) levels.
- Collects visit information, analyzes documentation, identifies discrepancies, and queries providers as needed to ensure the accuracy and integrity of reviewed data.
- Utilizes the electronic health record (EHR), abstracting systems, encoding systems, and computer-assisted coding systems to perform job responsibilities.
- Ensures coding is accurate and sequenced correctly in compliance with coding guidelines, government regulations, and payer requirements.
- Maintains current knowledge of coding requirements and compliance guidelines based on assigned specialty and departmental needs.
- Meets department productivity and quality standards for coding performance.
- Abstracts designated demographic data into the medical record abstracting system to satisfy internal and external regulatory reporting requirements.
- Provides documentation education and support to physicians to ensure coding assignments comply with regulatory requirements.
- Collaborates with the Clinical Documentation Integrity (CDI) program as needed.
- Responds to audit reviews and addresses findings in a timely manner.
- Provides timely feedback to the Manager, Professional Fee Coding, regarding operational issues and escalates recurring concerns as appropriate.
- Partners with Business Office staff to resolve billing and coding issues and corrects pending diagnoses or suspended reports as needed.
- Keeps management and applicable departments informed regarding completed work, backlogs, physician education activities, and other assigned responsibilities through designated tracking tools.
- Maintains required coding certification and pursues ongoing professional development through educational programs, seminars, and related learning opportunities.
- Adheres to HIPAA policies and procedures to maintain patient confidentiality and protect all health information.
- Complies with organizational policies and procedures, safety standards, Joint Commission (TJC) standards, and all applicable regulatory requirements.
- Demonstrates the True North Values of Nurture/Care, Own It, Respect Relationships, Build Trust, and Hardwire Excellence.
- Reports to the office as required and understands that failure to meet regulatory accuracy standards may result in a return to an in-office work environment.
- Performs other duties and responsibilities as assigned.
Interpersonal Skills and Values
Demonstrates NorthBay Health’s True North Values: Nurture Care, Own It, Respect Relationships, Build Trust, and Hardwire Excellence. These values guide behavior, accountability, teamwork, and commitment to high-quality patient care.
Why NorthBay Health
NorthBay Health is an independent, nonprofit health system serving the Napa, Solano, and Yolo County regions. We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics.
We provide advanced services in cardiovascular care, neuroscience, orthopedics, surgery, and outpatient specialties. NorthBay Health is nationally recognized for quality care, including Magnet with Distinction designation for nursing and multiple U.S. News and World Report high performing recognitions.
We are committed to being the trusted healthcare partner of choice and offer an environment where employees can grow, contribute meaningfully, and support the health of our communities.
NorthBay Health Benefits Options
NorthBay Health offers a comprehensive benefits package based on established eligibility requirements. Benefits may include medical, dental, and vision insurance, life, disability, and long-term care coverage, paid time off including vacation, sick leave, holidays, and bereavement, a 403(b) retirement plan with employer match, education reimbursement for eligible roles, professional development and training programs, Employee Assistance Program, wellness programs, recognition programs, shift differentials, and market-based compensation review and increases subject to approval and organizational performance.
Compensation Structure
NorthBay Health uses a structured compensation framework. Staff-level positions use a step-based system (Steps 1–5) based on years of directly related experience, with Step 5 representing 20 or more years of experience in the role. Manager level and above positions are paid a fixed annual base salary and are eligible for a variable incentive compensation plan. Physician compensation is structured based on specialty and role requirements.
Remote Work Disclosure
NorthBay Health is primarily an onsite organization due to the nature of healthcare. Some roles may allow hybrid or remote work based on business needs.
Remote work is not supported in Washington, Ohio, Wyoming, North Dakota, Puerto Rico, the U.S. Virgin Islands, or outside of the United States.
Notice to Recruitment Agencies
NorthBay Health utilizes a managed service provider (MSP) for agency partnerships and is not currently engaging external recruiting firms outside of established agreements. We do not accept unsolicited resumes or third-party candidate submissions. Please do not contact NorthBay Health employees, leaders, physicians, or hiring managers regarding recruitment or job postings.
More Information
Visit NorthBay Health Careers for recruitment FAQs and additional information.