PE Coder III PRN

Where You’ll Work

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.

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 medical records into the appropriate billing platforms, ensuring compliance with established guidelines.
• Communicate professionally with providers, practice management, and other stakeholders in writing or verbally.
• Code medical records using ICD-10 and CPT coding rules and guidelines. Ensure thorough and compliant coding to support patient records and submission of billing for payment.
• 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.
• Identifies trends and educational opportunities to ensure proper coding, documentation, and accuracy of billing within areas of responsibility/specialty.

Job Requirements

Required

• High School Graduate General Studies and Minimum five years of physician coding experience,  or
• High School GED General Studies and
• Certified Professional Coder or
• Certified Professional Coder Hospital Apprentice or
• Certified Professional Coder Apprentice or
• Certified Coding Associate or
• Cardiology Coding or
• Certified Coding Specialist or
• Certified Coding Specialist - Physician Based or
• Certified Cardiovascular and Thoracic Surgery Coder or
• Certified Health Care Compliance or
• Certified Interventional Radiology Cardio Coder or
• Certified Professional Coder Hospital or
• Radiology Certified Coder or
• Registered Health Information Administrator or
• Registered Health Information Technician

Preferred

• Previous Epic, Cerner and or other electronic medical record (EMR) experience