Coder

CommonSpirit Health•Phoenix, AZ

About The Position

As a Coder, you ensure accurate communication with insurance companies so services are documented correctly and payments are processed efficiently. You translate patients’ medical records into standardized codes for diagnoses and treatments, ensuring compliance with legal, regulatory, payer-specific, and organizational standards. The role requires accuracy, attention to detail, knowledge of coding standards and healthcare regulations, clear communication with providers and staff, and efficient records management so claims are processed correctly and on time. You apply coding principles consistent with government regulatory standards, payer-specific guidelines, and company policy. You code complex office, surgical, and hospital professional charges for assigned providers; review ICD, E&M, CPT, and HCPCS codes to verify documentation supports the services rendered; query providers when medical-record documentation is unclear or missing; and provide coding and documentation education to physicians and providers as needed. You also assist clinic and other department staff with coding questions for assigned providers.

Requirements

  • High school diploma or GED.
  • One year of professional fee coding experience.
  • One of the following certifications: Certified Professional Coder Hospital Apprentice (CPC-HA), Certified Professional Coder (CPC), Certified Professional Coder Apprentice (CPCA), or Certified Billing and Coding Certification (CBCS).

Nice To Haves

  • Two years of surgical professional fee coding experience.
  • GECB experience.
  • Cerner experience.

Responsibilities

  • Apply coding principles consistent with government regulatory standards, payer-specific guidelines, and company policy.
  • Code complex office, surgical, and hospital professional charges for assigned providers.
  • Review ICD, E&M, CPT, and HCPCS codes to ensure documentation supports all services rendered.
  • Query providers when encounters have unclear or missing medical-record documentation.
  • Provide physicians and providers with education on coding and documentation as needed.
  • Assist clinic and other department staff with coding-related questions for assigned providers.
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