PB Coding Coordinator

Intermountain Health

1d • $31 - $48

About The Position

Accurately evaluate and resolve coding edits in assigned Epic WQs and review documentation and assign appropriate CPT, HCPCS, ICD-10 codes and modifiers as applicable. Essential Functions Effectively navigate Epic EMR, including applicable reports and work queues. Accurately evaluate and resolve coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Review medical record documentation and assign appropriate CPT, HCPCS, ICD-10, and modifiers. Effectively evaluate coding bundling guidelines and modifier usage. Understand the Medicare Physician Fee Schedule Communicate coding/denial trends and provider education opportunities to coding leadership. Communicate effectively with providers via Epic in-basket message and email. Functionally work within Microsoft Office Suite products & Optum Encoder Pro. Provides education/training for medical providers and coders within the department. Performs quality assurance audits within specialty team. Ensures compliance with coding regulations and guidelines pertaining to specialty area and assists the leadership team in crafting communications, tip sheets and workflows as needed. Monitors and evaluates coding workflows in order to identify opportunities for improvement. Utilizes coding knowledge and source-based research to investigate and respond to coding requests related to their specialty area, as needed. Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards. Performs other duties as assigned.

Requirements

• CPT, HCPCS, ICD-10 coding
• Prior Epic/PB Resolute experience
• Microsoft Office suite
• High School Diploma or equivalent, required
• Minimum of five (5) years of pro fee coding experience with at least three (3) years within assigned specialty service line
• Required credential: CPC Certified Professional Coder (CPC) or Certified Coding Specialist Physician (CCS-P)
• Requires E/M (Evaluation & Management) coding and experience coding for the assigned specialty specific service line

Nice To Haves

• Preferred seven plus (7+) years of related coding experience
• Preferred related specialty coding credential
• Prefer previous experience using Epic and working work queues

Responsibilities

• Accurately evaluate and resolve coding edits in assigned Epic WQs
• Review documentation and assign appropriate CPT, HCPCS, ICD-10 codes and modifiers as applicable
• Effectively navigate Epic EMR, including applicable reports and work queues
• Accurately evaluate and resolve coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic
• Review medical record documentation and assign appropriate CPT, HCPCS, ICD-10, and modifiers
• Effectively evaluate coding bundling guidelines and modifier usage
• Understand the Medicare Physician Fee Schedule
• Communicate coding/denial trends and provider education opportunities to coding leadership
• Communicate effectively with providers via Epic in-basket message and email
• Functionally work within Microsoft Office Suite products & Optum Encoder Pro
• Provides education/training for medical providers and coders within the department
• Performs quality assurance audits within specialty team
• Ensures compliance with coding regulations and guidelines pertaining to specialty area and assists the leadership team in crafting communications, tip sheets and workflows as needed
• Monitors and evaluates coding workflows in order to identify opportunities for improvement
• Utilizes coding knowledge and source-based research to investigate and respond to coding requests related to their specialty area, as needed
• Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards
• Performs other duties as assigned

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.
• Learn more.

What This Job Offers

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