01Overview
About the Role
We are hiring a Medical Coder to handle coding for US outpatient physiotherapy and physical medicine practices. You will review therapy evaluation and daily treatment notes, assign accurate CPT and ICD-10-CM codes, apply timed-unit rules correctly, and make sure every claim is coded to what the documentation supports.
This is a specialty coding role. If you have coded therapy claims and are confident with the 8-minute rule, we want to speak with you.
Key Responsibilities
Assign CPT codes from physiotherapy evaluation and treatment notes, including evaluation tiers 97161, 97162, 97163 and re-evaluation 97164
Code timed therapeutic procedures such as 97110, 97112, 97116, 97140, 97530, 97535 and 97150
Code supervised and constant-attendance modalities including 97010, 97012, 97014 / G0283, 97032 and 97035
Calculate timed treatment units correctly under the CMS 8-minute rule and reconcile total treatment time against units billed
Assign ICD-10-CM diagnosis codes to the highest level of specificity, including correct 7th character selection
Apply therapy modifiers accurately GP, KX, CQ, 59 / XE / XP / XS / XU, and 96 / 97
Review NCCI edits and medically unlikely edits before claim submission
Verify medical necessity and plan-of-care certification before releasing claims
Raise provider queries where documentation is missing, unsigned or insufficient, and follow them through to closure
Support denial resolution for coding-related denials and share root-cause findings with the team
Maintain strict HIPAA compliance and code only what documentation supports
Requirements
Bachelor's degree in life sciences, physiotherapy, nursing, pharmacy or allied health
CPC (AAPC) or CCS (AHIMA) certification held and current
24 years coding US outpatient physiotherapy, physical medicine and rehabilitation, chiropractic or occupational therapy claims
Solid working knowledge of the 8-minute rule, the 97000-series CPT range, therapy modifi .
