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Auditor Coder Specialist

MercyOne Central Iowa Clinics Des Moines, Iowa
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The posted compensation range of $20.62 - $28.35 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2022-252441 Employment Type Full Time Department Physicians Billing System Hours/Pay Period 80 Shift Day Weekly Schedule Monday - Friday (8:00 AM - 5:00 PM) Remote No Category Medical Coding
Overview

HAH_MercyOneCommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

MercyOne is a connected system of health care facilities and services dedicated to helping individuals live their best life.

With 420 care locations, our clinics, medical centers and affiliates are never too far from home, allowing us to improve the lives of individuals and communities across the state of Iowa and beyond.

MercyOne’s Central Iowa Region includes medical centers in Des Moines, West Des Moines, Newton and Centerville and two specialty hospitals – MercyOne Children’s Hospital in Des Moines and MercyOne Rehabilitation Hospital in Clive –  along with more than 20 additional facilities that house more than 50 primary care, pediatric, internal medicine and specialty clinics. Founded by the Sisters of Mercy in 1893, MercyOne Central Iowa has the longest continually operating hospital in Des Moines.

We offer the following benefits to support you and your family:

  • Health/Dental/Vision Insurance
  • Flexible spending accounts
  • Voluntary Protection: Group Accident, Critical Illness, and Identity Theft 
  • Free Premium Membership to Care.com with preloaded credits for children and/or dependent adults
  • Employee Assistance Program (EAP) for you and your family
  • Paid Time Off (PTO) 
  • Tuition Assistance for career growth and development
  • Matching 401(k) and 457(b) Retirement Programs
  • Wellness Program

Responsibilities

Our Physcician Billing office is looking for an Auditor Coder Specialist to join our team! 

What you’ll do:

  • Responsible for coding and abstracting patients’ records for professional billing.
  • Reviews patient medical records retrospectively and concurrently for the coding and
    sequencing of diagnoses and procedures for reimbursement purposes.
  • Interacts and assists with coding requests and questions from billers.
  • Serves as a resource for difficult coding questions and assists with insurance denials for
    correction and re-filing.
  • Makes process improvement recommendations to management as identified, specifically
    related to registration and charge posting.
  • Performs in compliance with federal, state, insurance industry regulations.
  • Follows established hospital policies concerning corporate compliance.
  • Keeps abreast of insurance carrier rules and changes by participating in carrier specific
    and MCI education opportunities.


Qualifications

Minimum Requirements:

  • High school diploma or GED required.
  • Minimum of two years current experience with ICDM 9, CPT coding, and health insurance
    provider rules and regulations required.
  • Coding Certification required.
  • Knowledge of anatomy and physiology and medical terminology required
  • Working knowledge of computer information systems required.
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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.