Coder II Professional Fee

CommonSpirit Health • Centennial, CO

16h • Remote

About The Position

Where You’ll Work With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. This is a senior level professional fee coding position with at least three (3) or more years’ experience in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include reviewing documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes, resolve edits in WQs (charge review, claim edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following applicable payer rules and guidelines. This individual will also work with members of the Revenue Management team to address coding issues and concerns. Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states: - Alabama- Arizona- Arkansas- Colorado - Florida- Georgia- Idaho- Indiana - Iowa- Kansas - Kentucky- Louisiana - Missouri- Mississippi- Nebraska- New Mexico - North Carolina- Ohio- Oklahoma- South Carolina - South Dakota- Tennessee- Texas- Utah - Virginia- West Virginia- Wyoming

Requirements

• High School Diploma/G.E.D. required
• A minimum of 3 years experience in professional fee coding required.
• Experience with the electronic health record (EHR) and health care applications required.
• Demonstrate advanced computer skills, including Microsoft Office applications to include Word, Excel, PowerPoint.
• Demonstrate excellent interpersonal, organizational and communication skills.
• CPC or CCS-P required

Nice To Haves

• Associates degree or equivalent work experience in lieu of degree, preferred
• Epic experience preferred.
• Additional coding certifications preferred (specialty credential(s)/CPMA)

Responsibilities

• reviewing documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes
• resolve edits in WQs (charge review, claim edit, and follow up)
• review denials for possible corrected claims or appeals
• work with clinic supervisors and/or providers to resolve coding issues and questions, following applicable payer rules and guidelines
• work with members of the Revenue Management team to address coding issues and concerns

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED