Clinic Coder II

CommonSpirit Health•Omaha, NE

About The Position

CHI Health Clinic provides primary and specialty care, walk-in services, and virtual services across more than 20 specialties and 100 locations, with some clinics offering extended hours. The Clinic Coder II supports the financial health and operational integrity of the healthcare ministry by accurately abstracting and coding patient records in accordance with coding, billing, and data collection guidelines. The role involves reviewing medical records to determine appropriate diagnoses using ICD-9-CM and CPT-4 coding rules and guidelines. The coder works with practice staff on MS-DRG and APC assignments, sequences diagnostic and procedural codes, validates charges against documentation, and identifies and resolves discrepancies in coded charges. The position also collaborates with management on account corrections and maintains ethical standards and confidentiality in medical billing.

Requirements

  • One of the following certifications is required upon hire: Certified Professional Coder (CPC), Certified Coding Associate (CCA), Cardiology Coding, Certified Coding Specialist—Physician Based (CCS-P), Certified Cardiovascular and Thoracic Surgery Coder, or Registered Health Information Administrator (RHIA).
  • Strong understanding of healthcare billing.
  • Robust knowledge of medical insurance, payer contracts, and automated systems.
  • Exceptional attention to detail and critical-thinking skills.
  • Commitment to accuracy and strict confidentiality of medical records.

Nice To Haves

  • Prior healthcare billing experience.
  • Professional coding certifications such as CPC, CCS, RHIT, or RHIA.
  • Experience in a revenue cycle optimization environment.
  • Ability to thrive with limited oversight in a healthcare financial services setting.

Responsibilities

  • Abstract and code patient records in accordance with established coding, billing, and data collection guidelines.
  • Review medical records to determine appropriate diagnoses using ICD-9-CM and CPT-4 coding rules and guidelines.
  • Work with practice staff on MS-DRG and APC assignments.
  • Accurately sequence diagnostic and procedural codes.
  • Validate charges against medical documentation.
  • Identify and resolve discrepancies in coded charges.
  • Collaborate with management to ensure accurate account rectification.
  • Maintain confidentiality of medical records and uphold ethical standards in medical billing.
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