CommonSpirit Health Philanthropy
Responsibilities
The Coder II is responsible for abstracting and assigning valid CPT, ICD-9/10, and HCPCS codes to ensure appropriate reimbursement in accordance with federal, state, and private health plans, as well as organization and regulatory guidance. This position involves identifying compliance concerns, trends, and educational opportunities to ensure proper coding, documentation, and billing accuracy within their areas of responsibility/specialty. The Coder II works independently with limited oversight but may require guidance from a supervisor or senior colleagues on complex cases. Key duties include: Accurately abstracting information from service documentation and assigning appropriate codes into billing systems, ensuring compliance with established guidelines. Communicating professionally with providers, practice management, and other stakeholders both verbally and in writing. Processing encounters in the coding work queue or task lists promptly. Meeting or exceeding organizational coding production and quality standards. Staying current with regulatory changes and coding updates, such as NCCI and MUE edits. Identifying trends and educational opportunities to improve coding, documentation, and billing accuracy. Reviewing and resolving denials. Participating in special projects and performing additional duties as assigned. Qualifications
Education / Experience / Accreditation: High school diploma or equivalent required. At least two years of physician coding experience required. Previous experience with Electronic Health Records preferred. License / Certification: Coding certification through AHIMA (CCS or CCS-P) or AAPC (CPC) is required.
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The Coder II is responsible for abstracting and assigning valid CPT, ICD-9/10, and HCPCS codes to ensure appropriate reimbursement in accordance with federal, state, and private health plans, as well as organization and regulatory guidance. This position involves identifying compliance concerns, trends, and educational opportunities to ensure proper coding, documentation, and billing accuracy within their areas of responsibility/specialty. The Coder II works independently with limited oversight but may require guidance from a supervisor or senior colleagues on complex cases. Key duties include: Accurately abstracting information from service documentation and assigning appropriate codes into billing systems, ensuring compliance with established guidelines. Communicating professionally with providers, practice management, and other stakeholders both verbally and in writing. Processing encounters in the coding work queue or task lists promptly. Meeting or exceeding organizational coding production and quality standards. Staying current with regulatory changes and coding updates, such as NCCI and MUE edits. Identifying trends and educational opportunities to improve coding, documentation, and billing accuracy. Reviewing and resolving denials. Participating in special projects and performing additional duties as assigned. Qualifications
Education / Experience / Accreditation: High school diploma or equivalent required. At least two years of physician coding experience required. Previous experience with Electronic Health Records preferred. License / Certification: Coding certification through AHIMA (CCS or CCS-P) or AAPC (CPC) is required.
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