[Hiring] Coder III @CommonSpirit Health

Role Description

As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time.

• Accurately abstract information from the medical records into the appropriate billing platforms, ensuring compliance with established guidelines.
• Communicate professionally with providers, practice management, and other stakeholders in writing or verbally.
• Code medical records using ICD-10 and CPT coding rules and guidelines. Ensure thorough and compliant coding to support patient records and submission of billing for payment.
• Enter and validate charges using appropriate tools and validate diagnoses with the medical documentation provided.
• Compare charges on accounts with the procedures coded and identify any discrepancies. Notify Coding Manager of any discrepancies and collaborate as needed to rectify the account.
• Identify trends and educational opportunities to ensure proper coding, documentation, and accuracy of billing within areas of responsibility/specialty.

Qualifications

• High School Graduate General Studies and Minimum five years of physician coding experience, or
• High School GED General Studies and one of the following certifications:
  • Certified Professional Coder
  • Certified Professional Coder Hospital Apprentice
  • Certified Professional Coder Apprentice
  • Certified Coding Associate
  • Cardiology Coding
  • Certified Coding Specialist
  • Certified Coding Specialist - Physician Based
  • Certified Cardiovascular and Thoracic Surgery Coder
  • Certified Health Care Compliance
  • Certified Interventional Radiology Cardio Coder
  • Certified Professional Coder Hospital
  • Radiology Certified Coder
  • Registered Health Information Administrator
  • Registered Health Information Technician

Requirements

• Previous Epic, Cerner and or other electronic medical record (EMR) experience