Coder II

CommonSpirit 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.

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 is responsible for identifying compliance concerns,
trends, and educational opportunities to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty. The Coder II is able to work independently with limited oversight and may require direction from supervisor or more senior co-workers on complex cases.

 Accurately abstracts information from the service documentation, assigns appropriate CPT, ICD- 9/10, and HCPCS codes into the appropriate billing systems, ensuring compliance with established guidelines.
 Communicates professionally with providers, practice management, and other stake holders either verbally or in writing.
 Responsible for working encounters in the coding work queue or task lists in a timely manner.
 Meets or exceeds organizational coding production and quality standards.
 Understands and applies regulatory changes and stays current with coding updates, for example NCCI and MUE edits.
 Identifies trends and educational opportunities to ensure proper coding, documentation, and accuracy of billing within areas of responsibility/specialty.
 Reviews and resolves denials.
 Participates in special projects and completes other duties as assigned.

Education / Experience / Accreditation:
 High school diploma or equivalent required.
 Minimum of two years of physician coding experience required.
 Previous Electronic Health Record experience preferred.
License / Certification:
 Coding Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist Physician Based (CCS-P) or the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) required.