CommonSpirit Health

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Coder II

Software EngineerSoftware EngineerFull TimeRemoteTeam 10,001

Location

United States

Posted

4 days ago

Salary

Not specified

No structured requirement data.

Job Description

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.

Role Description

As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently.

  • Accurately translate patients’ medical records into standardized codes for diagnoses and treatments.
  • Ensure compliance with legal, regulatory, and organizational standards.
  • Combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations.
  • Maintain clear communication with providers and staff.
  • Efficiently manage records to ensure claims are processed correctly and on time.
  • Accurately abstract information from medical records into the appropriate coding systems.
  • Determine the most appropriate diagnosis after a thorough review of the medical records.
  • Work closely with practice staff regarding coding and assignment of MS-DRGs and APCs.
  • Code medical records using ICD-9-CM and CPT-4 coding rules and guidelines.
  • Ensure thorough and compliant coding to support patient records and submission of billing for payment.
  • Accurately sequence diagnostic and procedural codes according to organization specified procedures.
  • Assign MSDRG/APC as appropriate.
  • Provide codes to various departments upon request.
  • 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.

Qualifications

  • Certified Professional Coder, upon hire
  • Certified Professional Coder Hospital Apprentice, upon hire
  • Certified Professional Coder Apprentice, upon hire
  • Certified Coding Associate, upon hire
  • Cardiology Coding, upon hire
  • Certified Coding Specialist, upon hire
  • Certified Coding Specialist - Physician Based, upon hire
  • Certified Cardiovascular and Thoracic Surgery Coder, upon hire
  • Certified Health Care Compliance, upon hire
  • Certified Interventional Radiology Cardio Coder, upon hire
  • Certified Professional Coder Hospital, upon hire
  • Radiology Certified Coder, upon hire
  • Registered Health Information Administrator, upon hire
  • Registered Health Information Technician, upon hire

Preferred

  • Prior Healthcare Billing Experience

Job Requirements

  • Certified Professional Coder, upon hire
  • Certified Professional Coder Hospital Apprentice, upon hire
  • Certified Professional Coder Apprentice, upon hire
  • Certified Coding Associate, upon hire
  • Cardiology Coding, upon hire
  • Certified Coding Specialist, upon hire
  • Certified Coding Specialist - Physician Based, upon hire
  • Certified Cardiovascular and Thoracic Surgery Coder, upon hire
  • Certified Health Care Compliance, upon hire
  • Certified Interventional Radiology Cardio Coder, upon hire
  • Certified Professional Coder Hospital, upon hire
  • Radiology Certified Coder, upon hire
  • Registered Health Information Administrator, upon hire
  • Registered Health Information Technician, upon hire
  • Preferred
  • Prior Healthcare Billing Experience

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