Biller/Coder II - Revenue Cycle (Full-Time)

The Iowa Clinic•West Des Moines, IA

About The Position

The Biller/Coder II reviews complex patient encounters, procedures, and documentation to ensure medical coding is accurate, complete, and compliant. The role verifies that documentation supports assigned codes, identifies discrepancies and trends, and serves as a subject-matter expert on CPT, ICD, HCPCS, modifiers, payer guidelines, and regulatory requirements. The position provides real-time coding, documentation, and billing guidance to physicians and APPs; participates in provider education, onboarding, and specialty meetings; and responds to coding and workflow inquiries. The Biller/Coder II keeps current with CMS regulations, coding updates, and payer policies, communicates relevant changes to stakeholders, and contributes to coding audits, documentation improvement initiatives, and cross-functional projects. The role also supports team workload while maintaining professionalism, confidentiality, and a collaborative work environment.

Requirements

  • High school diploma or equivalent.
  • Previous experience working in a medical office.
  • Working knowledge of ICD-10, CPT, and HCPCS coding.
  • Certified Professional Coding Certificate.

Nice To Haves

  • Five years of experience.
  • Exposure to different types of insurance programs.

Responsibilities

  • Review complex patient encounters, procedures, and documentation to ensure accurate, complete, and compliant medical coding.
  • Verify that documentation supports assigned codes and identify discrepancies, trends, and opportunities for improvement.
  • Provide expertise on CPT, ICD, HCPCS, modifiers, payer guidelines, and regulatory requirements.
  • Provide real-time guidance and consultation to physicians and APPs on coding, documentation, and billing requirements.
  • Participate in provider education, onboarding, and specialty meetings to improve documentation accuracy and reduce denials.
  • Respond to coding and workflow inquiries with timely and accurate support.
  • Stay current on CMS regulations, coding updates, and payer policies, and communicate relevant changes to stakeholders.
  • Participate in coding audits, documentation improvement initiatives, and cross-functional projects.
  • Support team workload while maintaining professionalism, confidentiality, and a collaborative work environment.

Benefits

  • 401(k) program with employer match and profit sharing.
  • Employee incentives to share in the Clinic’s success.
  • Generous PTO accruals and paid holidays.
  • Health, dental, and vision insurance.
  • Quarterly volunteer opportunities through local nonprofits.
  • Training and development programs.
  • Employee events and activities, including TIC night at the Iowa Cubs, an employee appreciation tailgate party, Adventureland day, State Fair tickets, an annual holiday party, and drive-in movie night.
  • Monthly departmental celebrations, jeans days, and clinic-wide competitions.
  • Employee rewards and recognition program.
  • Health and wellness program with up to $350 per year in incentives.
  • Employee feedback surveys.
  • All-employee meetings, team huddles, and transparent communication.
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