Auditor Coding Clinic Specialist

MercyOne; Des Moines (IA); On-site; USD 40,000 - 55,000; Full time

Job summary

A leading healthcare provider in Des Moines is seeking an Auditor Coding Clinic Specialist to code and abstract patient records for billing purposes. The ideal candidate has at least two years of experience with ICDM 9 and CPT coding, as well as a coding certification. This full-time role offers a chance to contribute to quality healthcare in an entry-level capacity.

Qualifications

• Minimum of two years current experience with ICDM 9 and CPT coding.
• Knowledge of anatomy, physiology, and medical terminology required.
• Demonstrates effective communication with patients and medical staff.

Responsibilities

• Code and abstract patients’ records for professional billing.
• Review medical records for coding and billing compliance.
• Assist with difficult coding questions and insurance denials.

Skills

ICDM 9 coding

CPT coding

Health insurance provider rules

Anatomy and physiology knowledge

Medical terminology knowledge

Effective communication skills

Education

High school diploma or GED

Coding Certification

Tools

Computer information systems

Job description

Join to apply for the Auditor Coding Clinic Specialist role at MercyOne.

Responsibilities

• Responsible for coding and abstracting patients’ records for professional billing.
• Reviews patient medical records retrospectively and concurrently for the coding and sequencing of diagnoses and procedures for reimbursement purposes.
• Interacts and assists with coding requests and questions from billers.
• Serves as a resource for difficult coding questions and assists with insurance denials for correction and re‑filing.
• Makes process improvement recommendations to management as identified, specifically related to registration and charge posting.
• Performs in compliance with federal, state, insurance industry regulations.
• Follows established hospital policies concerning corporate compliance.
• Keeps abreast of insurance carrier rules and changes by participating in carrier specific and MCI education opportunities.

Marginal Functions

• Work includes cross coverage in other areas as team needs.
• Maintains supply inventory and stocks supplies in various work areas.
• Participates in Performance Improvement activities as appropriate.
• Maintains professional appearance of work area.
• Participates in staff development activities and orientation as requested.
• Other projects and assignments as required by supervisor.

Minimum Knowledge, Skills And Abilities Required

• High school diploma or GED required.
• One to two years post high school education preferred.
• A minimum of two years current experience with ICDM 9, CPT coding, and health insurance provider rules and regulations required.
• Coding Certification required.
• Knowledge of anatomy and physiology and medical terminology required.
• Proof of completion of Mandatory Reporter abuse training specific to population served within three (3) months of hire.
• Knowledge of physician EM coding desired.
• Working knowledge of computer information systems required.
• Demonstrates professional, appropriate, effective and tactful written, verbal, and nonverbal communication with patient, families, medical staff, colleagues, vendors, and other departments throughout the continuum of care to promote continuity of care and services and enhance department image.
• Must be a self‑starter and able to work independently and make appropriate decisions within hospital and departmental guidelines with little assistance from Manager.

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person‑centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Seniority level

• Entry level

Employment type

• Full‑time

Job function

• Accounting/Auditing and Finance

Industries

• Hospitals and Health Care