CHI ยท 2 days ago
Coder II
CHI is part of CommonSpirit Health, which operates over 700 care sites across the U.S. The Coder II is responsible for abstracting and assigning valid medical codes to ensure appropriate reimbursement and compliance with health plans, while also identifying trends and educational opportunities in coding accuracy.
Health CareHospitalMedicalNon Profit
Responsibilities
Accurately abstracts information from the service documentation, assigns appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems, ensuring compliance with established guidelines
Communicates professionally with providers, practice management, and other stake holders either verbally or in writing
Responsible for working encounters in the coding work queue or task lists in a timely manner
Meets or exceeds organizational coding production and quality standards
Understands and applies regulatory changes and stays current with coding updates, for example NCCI and MUE edits
Identifies trends and educational opportunities to ensure proper coding, documentation, and accuracy of billing within areas of responsibility/specialty
Reviews and resolves denials
Participates in special projects and completes other duties as assigned
Qualification
Required
High school diploma or equivalent required
Minimum of two years of physician coding experience required
Coding Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist Physician Based (CCS-P) or the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) required
Preferred
Previous Electronic Health Record experience
Company
CHI
Catholic Health Initiatives, a nonprofit, faith-based health system formed in 1996 through the consolidation of four Catholic health systems, expresses its mission each day by creating and nurturing healthy communities in the hundreds of sites across the nation where we provide care.