HIM PB Coding Specialist 2

St. Charles Health System Inc.; United Kingdom; Remote; GBP 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated PB Coding Specialist II to join their Health Information Management team. This role involves advanced coding of medical records and ensuring compliance with national guidelines. The ideal candidate will have strong skills in interpreting medical documents and coding diagnoses and procedures accurately. You'll work closely with financial services to address claim denials and uphold the organization's values of compassion and integrity. If you're looking for a fulfilling role in a supportive environment that prioritizes professional growth, this opportunity is for you.

Benefits

Competitive Salary

Comprehensive benefits including Medical, Dental, Vision

403b with up to 6% match

Generous Earned Time Off

Growth Opportunities within Healthcare

Qualifications

• 1+ years of hospital or professional coding experience required.
• Certification in health information management is essential.

Responsibilities

• Code and charge SCMG Clinical Services accurately.
• Resolve billing edits and denials while maintaining quality standards.

Skills

ICD–10-CM coding

CPT-4 coding

Medical record interpretation

Advanced coding skills

Communication skills

Education

High School diploma or GED

AHIMA Accredited Health Information Technology program

Tools

Encoder program

Job description

HIM PB Coding Specialist 2

Apply locations: Remote Oregon

Time type: Full time

Posted on: Posted 5 Days Ago

Job requisition id: R1019239

Typical pay range: $24.81 - $37.21 per hour, based on experience.

In addition, this role is eligible to work remotely from an approved state by St. Charles (please refer to the list). If you do not reside in an approved listed state (or do not plan to relocate to an approved listed state) we request, you do not apply for this particular position.

Approved states by St. Charles: Oregon, Arizona, Arkansas, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Tennessee, Utah, and Wisconsin.

About St. Charles Health System:

St. Charles Health System is a leading healthcare provider in Central Oregon, offering a comprehensive range of services to meet the needs of our community. We are committed to providing high-quality, compassionate care to all patients, regardless of their ability to pay. Our values of compassion, excellence, integrity, teamwork, and stewardship guide our work and shape our culture.

What We Offer:

1. Competitive Salary
2. Comprehensive benefits including Medical, Dental, Vision for you and your immediate family
3. 403b with up to 6% match on Retirement Contributions
4. Generous Earned Time Off
5. Growth Opportunities within Healthcare

JOB DESCRIPTION

TITLE: PB Coding Specialist II – Advanced Coding

REPORTS TO POSITION: HIM Coding Supervisor

DEPARTMENT: Health Information Management

POSITION OVERVIEW: The Professional Fee Coding Specialist II at St. Charles Health System is responsible for coding and charging SCMG Clinical Services as well as resolving billing edits and denials. This position does not directly manage other caregivers; however, may be asked to review and provide feedback on the work of other caregivers.

ESSENTIAL FUNCTIONS AND DUTIES:

1. Advanced skills in reading and interpreting documents contained in the medical record to identify and code all relevant ICD–10-CM diagnoses and CPT-4 procedures for professional fee charges by utilizing an encoder program, and following National and SCHS coding guidelines.
2. Abstracts medical record information in compliance with CMS requirements and SCHS abstracting procedures as appropriate.
3. Captures the correct modifiers appropriate for CPT code assignment.
4. Reconciles CCI and Medical Necessity edits.
5. Maintains productivity and quality standards.
6. Works closely with the Patient Financial Services department on medical necessity issues, claim denials, charge master issues, and charge auditor issues.
7. Supports the vision, mission, and values of the organization in all respects.
8. Conducts all activities with the highest standards of professionalism and confidentiality.

EDUCATION:

Required: High School diploma or GED required. Graduate of an AHIMA Accredited Health Information Technology program or certification in a self-study course from AHIMA or AAPC required.

LICENSURE/CERTIFICATION/REGISTRATION:

Required: Must possess a valid Registered Health Information Technician (RHIT) certification or one or more of the following: RHIA, CCA, CCS, CCS-P, CPC, COC, CPC-H.

EXPERIENCE:

Required: Minimum of one year of hospital or professional coding experience with a Health Information Management focus.

PERSONAL PROTECTIVE EQUIPMENT:

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

PHYSICAL REQUIREMENTS:

1. Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
2. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.
3. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing.