[Hiring] Clinic Coder II @CommonSpirit Health

Role Description

As our Clinic Coder II, you will be instrumental in the financial health and operational integrity of our healthcare ministry. Your primary responsibility will be to accurately abstract and code patient records in compliance with established coding, billing, and data collection guidelines. You'll play a critical role in optimizing revenue cycle management, ensuring compliant data submission, and contributing to the overall success of our clinic's financial services.

• Meticulously review medical records to determine the most appropriate diagnoses, utilizing ICD-9-CM and CPT-4 coding rules and guidelines.
• Work closely with practice staff on MS-DRG and APC assignments.
• Accurately sequence diagnostic and procedural codes.
• Validate charges against medical documentation.
• Identify and resolve discrepancies in coded charges.
• Collaborate with management to ensure accurate account rectification.
• Uphold the highest ethical standards in medical billing.

To be successful in this medical coding specialist role, you will need a strong understanding of healthcare billing, robust knowledge of medical insurance, payer contracts, and automated systems. You'll possess exceptional attention to detail, critical thinking skills, and a commitment to accuracy, maintaining strict confidentiality of medical records.

Candidates with professional coding certifications (CPC, CCS, RHIT, RHIA, etc.) and experience in a revenue cycle optimization environment are highly desired, demonstrating your ability to thrive with limited oversight in a financial services in healthcare setting.

Qualifications

• Strong understanding of healthcare billing.
• Robust knowledge of medical insurance and payer contracts.
• Exceptional attention to detail.
• Critical thinking skills.
• Commitment to accuracy and confidentiality of medical records.
• Professional coding certifications (CPC, CCS, RHIT, RHIA, etc.) preferred.
• Experience in a revenue cycle optimization environment preferred.

Requirements

• Certified Professional Coder, upon hire.
• Certified Coding Associate, upon hire.
• Cardiology Coding, upon hire.
• Certified Coding Specialist - Physician Based, upon hire.
• Certified Cardiovascular and Thoracic Surgery Coder, upon hire.
• Registered Health Information Administrator, upon hire.

Preferred

• Prior Healthcare Billing Experience.