Renown Health · 4 months ago
Professional Services Coder
Reno, NV
Full-time
Onsite
Entry, Mid Level
2+ years expRenown Health is a healthcare organization seeking a Professional Services Coder responsible for accurately assigning diagnostic and procedural coding for all encounters. The role includes translating patient information into medical codes, ensuring adherence to coding guidelines, and maintaining coding quality for optimal reimbursement.
Health CareHospitalSocial MediaWellness
Responsibilities
Incumbent is responsible for abstracting, analyzing, and assigning ICD-10-CM, CPT, HCPCS codes and appropriate modifiers for evaluation and management (E/M), minor procedures, and diagnostic tests by using either computerized or manual systems
Researches and resolves coding and reimbursement issues to ensure the accuracy, quality, and integrity of coding practices
Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for professional service encounters to determine the highest level of specificity ICD-10 codes, CPT codes, HCPCS codes, and modifiers
Reviews physician assigned diagnosis code after thorough review of the medical record and, if necessary, queries physician for additional clarity in a professional manner
Able to accurately abstract information from the medial records into the abstract system, according to established guidelines
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC) adheres to official coding guidelines
Enters and validates codes, charges and other edits flagged in EPIC for review
Review documentation (and returned accounts) to verify and correct place of service, billing and service providers, or other missing data elements (ie: NDC #, or number of units)
Uses CCI edit software to check bundling issues, modifier appropriateness, and LCD’s/NCD’s for medical necessity
Communication with other departments to recommend coding guidance for charge corrections, appeals processes, and patient billing concerns
Meet and/or exceeds the established coding productivity standards
Effectively communicates with clinicians and billing/coding teams regarding code changes and denials
Code/Audit encounters within the Professional Services Coding Epic queues
Complete accountable work related to daily unbilled charges to ensure timely billing in conjunction with billing and compliance guidelines
Address appeals and review documentation needed for insurance denials to facilitate expedient resolution and reimbursement
Qualification
Required
Must have working-level knowledge of the English language, including reading, writing and speaking English
High School Diploma/GED required
A minimum of 2-5 years previous pro-fee coding experience required
CCS, CCS-P, CPC, COC and/or CIC Coding credential required. (Excludes apprenticeship classification)
Must be proficient with Microsoft Office Suite, including Outlook, Power Point, Excel, and Word
Must have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc
Preferred
Experience in medical billing, and Professional Billing EMR workflows is preferred
Company
Renown Health
Renown Health is northern Nevada's not-for-profit integrated health network.
5001-10000 employees
H1B Sponsorship
Renown Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (7)
2024 (6)
2022 (2)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Baldrick's Foundation
2023-11-21Grant
Leadership Team
Brian Erling
President & Chief Executive Officer
Recent News
PR Newswire UK
2025-12-24
HealthCareIT News
2025-11-21
Company data provided by crunchbase