PB Coder

Intermountain Health•Lake Park, IA

2d•$28 - $44

About The Position

The Med Grp Professional Billing (PB) Coder II resolves coding edits in assigned Epic work queues and assigns ICD-10, CPT, and HCPCS classifications and modifiers based on clinical documentation or physician orders. The role supports data integrity for internal and external reporting, maintains work queues within processing timeframes, responds to billing-code inquiries, and follows compliance guidelines. The coder evaluates and resolves coding edits in Charge Review, Claim Edit, and Follow-up work queues; escalates coding and denial trends and provider education opportunities; communicates with providers through Epic in-basket messages and email; and follows departmental protocols. The role uses Epic and applicable organizational tools, meets productivity standards, and participates in continuing education to maintain coding knowledge and credentials.

Requirements

CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist – Physician) certification.
Demonstrated experience in professional fee coding, including Evaluation & Management (E/M) services and coding for the specific specialty service line.
Demonstrated proficiency using Microsoft Office tools.
Comprehensive knowledge of physician billing and the healthcare revenue cycle.
Knowledge of Medicare coding guidelines, including NCCI and LCD/NCD; CPT; HCPCS; and ICD-10.
Accuracy, attention to detail, collaboration, and communication skills.

Nice To Haves

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

Responsibilities

Evaluate and resolve coding edits in assigned Charge Review, Claim Edit, and Follow-up Epic work queues within assigned timeframes.
Assign ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders.
Escalate coding and denial trends and provider education opportunities.
Navigate Epic EMR, including applicable reports and work queues.
Communicate with providers through Epic in-basket messages and email according to departmental guidelines.
Adhere to departmental protocols and compliance guidelines.
Use organizational and departmental tools as applicable, including Microsoft Office Suite products, Kronos, ServiceHub, and Optum Encoder Pro.
Meet or exceed productivity standards.
Participate in continuing education to maintain understanding of anatomy, physiology, medical terminology, disease processes, and surgical techniques, and to maintain credentials.
Respond to inquiries related to billing codes and maintain work queues within processing timeframes.