Coder II Professional Fee

Mountain Region Support • Garden City, KS

1d • Remote

About The Position

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. 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. This organization values individuals with unique talents and a commitment to a greater cause, offering a supportive, team environment with resources for flourishing and leaders who care about success. This is a senior level professional fee coding position requiring 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, resolving edits in WQs (charge review, claim edit, and follow up), and reviewing denials for possible corrected claims or appeals. The Coder II will also work with clinic supervisors and/or providers to resolve coding issues and questions, following applicable payer rules and guidelines, and collaborate with members of the Revenue Management team to address coding issues and concerns.

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
• Epic experience
• Additional coding certifications (specialty credential(s)/CPMA)
• Multispecialty focused coding experience

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: Senior
• Education Level: High school or GED