Coder II

Where You’ll Work

CommonSpirit Medical Group (Mountain Management Services) is a leading provider of comprehensive office management services and affiliated physicians in Southeast Tennessee and North Georgia. Our award-winning, faith-based organization is dedicated to supporting the delivery of exceptional healthcare in the region. We are proud to be consistently recognized for excellence by organizations like U.S. News & World Report, PINC AI™, CMS, Healthgrades®, Leapfrog, and as one of the Best Places to Work in Tennessee. We are honored to be your trusted ally in health, dedicated to serving our community with compassion and excellence.

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 abstracts information from the service documentation, assigns and sequences 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.
• Reviews and resolves coding denials.

Job Requirements

Required

• High School Graduate High School Diploma, upon hire or
• High School GED, upon hire
• Certified Professional Coder, upon hire or
• Certified Professional Coder Hospital Apprentice, upon hire or
• Certified Professional Coder Apprentice, upon hire