CommonSpirit Health ยท 3 weeks ago
Coder II
CommonSpirit Health is a large healthcare organization formed by the alignment of Catholic Health Initiatives and Dignity Health. The Coder II is responsible for abstracting and assigning valid CPT, ICD-9/10, and HCPCS codes to ensure appropriate reimbursement and compliance with various health plans, while also identifying trends and educational opportunities in coding and billing accuracy.
Health CareMedicalNon 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 preferred
Company
CommonSpirit Health
Common Spirit Health is a healthcare organization that provides research programs, home health programs, and virtual care services. It is a sub-organization of CommonSpirit Health.
Funding
Current Stage
Late StageLeadership Team
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