Biller/Coder II (Full-Time)

The Iowa Clinic • West Des Moines, IA

2d • Onsite

About The Position

Using advanced proficiency in ICD-10, CPT, and HCPCS coding knowledge, the Certified Professional Coder Specialist II performs top-of-certification coding work focused on complex procedural reviews, documentation quality, payer-policy interpretation, and revenue-integrity support. This role provides consultative guidance to clinicians, performs high-complexity audits, supports denial prevention, and serves as a subject-matter expert for coding updates and industry changes. This position plays a key role in supporting the organization’s direct-to-bill initiative by ensuring coding accuracy, identifying documentation opportunities, educating providers, and staying current with evolving payer requirements. The Iowa Clinic is locally owned and led by physicians, with all decisions made in Central Iowa, and is committed to exceeding expectations, showing compassion, and collaborating to provide exceptional care.

Requirements

• Demonstrated ability to effectively communicate in English with people from diverse professional, educational and lifestyle backgrounds both orally and in writing.
• Ability to read and write legibly and understand/ follow written and verbal instruction.
• Ability to operate a computer including effective utilization of spreadsheet software and ability to utilize effective decision-making and problem-solving techniques.
• Ability to organize, prioritize and manage multiple tasks.
• Ability to work independently and interdependently.
• Ability to remain calm, cheerful and professional in stressful situations and focused amid constant interruptions in a fast-paced environment.
• High school diploma or equivalent.
• Certified Professional Coding Certificate is required.
• Previous experience working in a medical office.
• Working knowledge of ICD-10, CPT, and HCPCS coding.
• Demonstrate ability to consistently exceed productivity/quality standards set for current job duties.
• Demonstrate personal accountability and offer solutions for process improvements.
• Demonstrate willingness and effort to expand knowledge and learn new tasks.

Nice To Haves

• Exposure to different types of insurance programs.

Responsibilities

• Performs detailed review of complex patient encounters, procedures, specialty services, and high-risk documentation to ensure accurate, complete, and compliant coding.
• Ensures documentation supports all assigned codes and actively identifies inconsistencies, trends, or opportunities for improvement.
• Serves as the coding subject-matter expert for assigned specialties, maintaining deep knowledge of CPT/ICD/HCPCS, modifiers, NCCI edits, payer guidelines, and regulatory requirements.
• Provides real-time feedback and consultation to physicians and APPs on coding, documentation, and payer requirements.
• Participates in specialty meetings, education sessions, and provider onboarding to improve documentation accuracy and reduce downstream denials.
• Responds to clinician questions related to coding, documentation, and direct-to-bill workflows, ensuring timely and accurate guidance.
• Monitors industry updates, CMS releases, CPT/ICD changes, and payer-specific policies; disseminates relevant information to clinicians, team members, and leadership.
• Participates in coding audits, documentation improvement projects, and interdepartmental initiatives.
• Demonstrates professionalism, maintains confidentiality, and promotes a positive impression of The Iowa Clinic internally and externally.
• Supports the overall workload of the coding team, offering assistance as appropriate.
• Perform other tasks as assigned.

Benefits

• One of the best 401(k) programs in central Iowa, including employer match and profit sharing
• Employee incentives to share in the Clinic’s success
• Generous PTO accruals
• paid holidays
• Health, dental and vision insurance
• Quarterly volunteer opportunities through a variety of local nonprofits
• Training and development programs

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED
• Number of Employees: 251-500 employees