[Hiring] Coder II @CommonSpirit Health

Role Description

As our Coder II, you will apply your senior-level expertise to meticulously code both inpatient and outpatient professional fee services across multiple specialties, ensuring accuracy and compliance.

• Review documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes.
• Resolve edits in work queues (charge review, claim edit, follow up).
• Analyze denials for corrected claims or appeals.
• Collaborate with clinic supervisors, providers, and the Revenue Management team to resolve coding issues and questions, following applicable payer rules and guidelines.
• Utilize appropriate tools, code books, references, and systems to determine proper coding for services based upon documentation in the patient record.
• Maintain assigned workqueues and coding assignments within defined processing timeframes.
• Submit appropriate queries to providers for clarification when needed.
• Meet productivity and accuracy standards established by management.
• Ability to code at least three (3) or more different specialties; or at least one highly complex specialty (i.e., Cardiology).
• Follow established protocols to promote efficiencies within the department and timely filing of claims.

Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states:

• Alabama
• Arizona
• Arkansas
• Colorado
• Florida
• Georgia
• Idaho
• Indiana
• Iowa
• Kansas
• Kentucky
• Louisiana
• Missouri
• Mississippi
• Nebraska
• New Mexico
• North Carolina
• Ohio
• Oklahoma
• South Carolina
• South Dakota
• Tennessee
• Texas
• Utah
• Virginia
• West Virginia
• Wyoming

Qualifications

• High School Diploma/G.E.D.
• A minimum of three (3) years experience in professional fee coding.
• Experience with the electronic health record (EHR) and health care applications.
• Up to six (6) months to obtain the CPCCPC or CCSP.

Preferred

• Associate Degree or equivalent work experience in lieu of degree.
• Epic experience.
• Additional coding certifications (specialty credential(s)/CPMA).