Medical Group PB Coder II

Intermountain Health

3d • $28 - $44 • Onsite

About The Position

The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately escalates coding/denial trends and provider education opportunities. Navigates Epic EMR, including applicable reports and work queues Communicates with providers via Epic in-basket message and email per departmental guidelines. Adheres to departmental protocols. Utilizes organizational and departmental tools as applicable (i.e. Microsoft Office Suite products, Kronos, ServiceHub, Optum Encoder Pro, etc.). Meets or exceeds productivity standards. Participates in continuing education programs to maintain an understanding of anatomy, physiology, medical terminology, disease processes, and surgical techniques to support the effective application of coding guidelines and maintain credentials. Skills Medicare coding guidelines (i.e. NCCI, LCD/NCD) CPT HCPCS ICD-10 Epic/PB Resolute experience Accuracy Detail oriented Collaborative Communication Qualifications Required CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist – Physician) Demonstrated experience in professional fee coding including Evaluation & Management (E/M) services and coding for the specific specialty service line Demonstrated proficiency utilizing Microsoft office tools. Demonstrated comprehensive knowledge of physician billing, healthcare revenue cycle. Preferred High school diploma or equivalent Related specialty credential through AAPC or AHIMA Two (2) years of professional fee coding experience in the related specialty Prior Epic experience Physical Requirements Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs. Frequent interactions with providers, colleagues, customers, patients/clients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately. Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc. May have the same physical requirements as those of clinical or patient care jobs, when the leader takes clinical shifts. For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Requirements

• Medicare coding guidelines (i.e. NCCI, LCD/NCD)
• CPT
• HCPCS
• ICD-10
• Epic/PB Resolute experience
• Accuracy
• Detail oriented
• Collaborative
• Communication
• CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist – Physician)
• Demonstrated experience in professional fee coding including Evaluation & Management (E/M) services and coding for the specific specialty service line
• Demonstrated proficiency utilizing Microsoft office tools.
• Demonstrated comprehensive knowledge of physician billing, healthcare revenue cycle.

Nice To Haves

• High school diploma or equivalent
• Related specialty credential through AAPC or AHIMA
• Two (2) years of professional fee coding experience in the related specialty
• Prior Epic experience

Responsibilities

• Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic.
• Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders.
• Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes.
• Appropriately escalates coding/denial trends and provider education opportunities.
• Navigates Epic EMR, including applicable reports and work queues
• Communicates with providers via Epic in-basket message and email per departmental guidelines.
• Adheres to departmental protocols.
• Utilizes organizational and departmental tools as applicable (i.e. Microsoft Office Suite products, Kronos, ServiceHub, Optum Encoder Pro, etc.).
• Meets or exceeds productivity standards.
• Participates in continuing education programs to maintain an understanding of anatomy, physiology, medical terminology, disease processes, and surgical techniques to support the effective application of coding guidelines and maintain credentials.

Benefits

• We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
• Learn more about our comprehensive benefits package here.
• Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment.

What This Job Offers

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