PB Coding Coordinator

Intermountain Health•Lake Park, IA
•$31 - $49•Onsite

About The Position

The PB Coding Coordinator evaluates and resolves coding edits in assigned Epic work queues, reviews medical record documentation, and assigns appropriate CPT, HCPCS, ICD-10 codes, and modifiers. The role uses Epic EMR, Microsoft Office, and Optum Encoder Pro, and requires knowledge of coding bundling guidelines, modifier usage, and the Medicare Physician Fee Schedule. The coordinator communicates coding and denial trends and provider education opportunities to coding leadership, communicates with providers through Epic in-basket messages and email, and provides education and training to medical providers and coders. The position also performs quality assurance audits, supports compliance with coding regulations and guidelines, investigates specialty-related coding requests using source-based research, and helps identify and improve coding workflows. The role promotes Intermountain Health’s mission, vision, and values and performs other duties as assigned.

Requirements

  • High school diploma or equivalent.
  • At least five years of professional fee coding experience, including at least three years within the assigned specialty service line.
  • CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist Physician) credential.
  • E/M (Evaluation & Management) coding experience and experience coding for the assigned specialty-specific service line.
  • CPT, HCPCS, and ICD-10 coding skills.
  • Microsoft Office Suite skills.

Nice To Haves

  • Seven or more years of related coding experience.
  • Related specialty coding credential.
  • Prior experience using Epic and working work queues.

Responsibilities

  • Effectively navigate Epic EMR, including applicable reports and work queues.
  • 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 codes, and modifiers.
  • Evaluate coding bundling guidelines and modifier usage.
  • Communicate coding and denial trends and provider education opportunities to coding leadership.
  • Communicate effectively with providers through Epic in-basket messages and email.
  • Use Microsoft Office Suite products and Optum Encoder Pro.
  • Provide education and training for medical providers and coders within the department.
  • Perform quality assurance audits within the specialty team.
  • Ensure compliance with coding regulations and guidelines pertaining to the specialty area.
  • Assist the leadership team in creating communications, tip sheets, and workflows as needed.
  • Monitor and evaluate coding workflows to identify opportunities for improvement.
  • Use coding knowledge and source-based research to investigate and respond to specialty-related coding requests as needed.
  • Promote Intermountain Health’s mission, vision, and values and abide by service behavior standards.
  • Perform other duties as assigned.
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