Clinic Coder II

Where You’ll Work

From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.

Job Summary and Responsibilities

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 medial records into the appropriate coding systems, ensuring compliance with established guidelines.
• Determine the most appropriate diagnosis after a thorough review of the medical records. Work closely with practice staff with regards to coding and assignment of a MS-DRGs (Diagnosis Related Group) and APCs (Ambulatory Payment Classification).
• Code medical records using ICD-9-CM and CPT-4 coding rules and guidelines. Ensure through and compliant coding to support patient records and submission of billing for payment.
• Accurately sequence diagnostic and procedural codes according to organization specified procedures and assigns MSDRG/APC as appropriate. Provide codes various departments upon request.
• Enter and validate charges using appropriate tools and validates diagnoses with the medical documentation provided.
• Compare charges on accounts with the procedures coded and identifies any discrepancies. Notify Coding Manager of any discrepancies’ and collaborates as needed to rectify the account.

Job Requirements

Required

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

Preferred

• Prior Healthcare Billing Experience