Certified Coder-ProFee I

EvergreenHealth; United States; On-site; USD 57,000 - 91,000; Full time

Benefits offered by this job

Health insurance

On-demand virtual health care

Health Savings Account

Flexible Spending Account

Life and disability insurance

Retirement plans (457(b) and 401(a))

Tuition assistance

Paid time off

Job summary

EvergreenHealth in Kirkland, WA is seeking a professional medical coder to abstract and assign ICD-10-CM, CPT, and HCPCS codes for professional services. You will ensure accuracy and support revenue integrity by addressing denials and coding inquiries.

Requirements include a high school diploma or GED, CPC/CCA/COC or similar credential, and knowledge of payer billing rules. Experience in a multi-specialty setting is preferred. Salary ranges reflect in-state pay scales and premium incentives.

Qualifications

• Proficient knowledge of medical terminology, ICD-10-CM, CPT, and HCPCS coding conventions.
• Basic understanding of anatomy, physiology and disease processes.
• General understanding of payer billing requirements.

Responsibilities

• Abstracts, analyzes, and assigns CPT, HCPCS and ICD-10-CM codes for professional services based on documentation in the medical record.
• Meets department productivity and accuracy standards.
• Communicates with clinicians regarding CPT code changes and denials.
• Evaluates coding inquiries for accuracy based on documentation.
• Researches and drafts appeals for payer denials.
• Identifies trends in code changes, denials, and compliance risks.
• Suggests documentation improvements to supervisors.
• Performs other duties as assigned.

Skills

Medical coding

ICD-10-CM

CPT

HCPCS

Payer billing

Communication skills

Education

High school diploma or GED

Job description

Description

Wage Range: $27.45 - $43.92 per hour

Remote in state of Washington only - Kirkland, WA Campus

Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.

Job Summary

Abstracts, analyzes, and assigns ICD-10-CM, CPT, HCPCS codes and appropriate modifiers for evaluation and management (E/M), minor procedures, and diagnostic tests by using either computerized or manual systems. Researches and resolves coding and reimbursement issues to ensure the accuracy, quality, and integrity of coding and billing practices. Effectively communicates with clinicians and billing/coding teams regarding code changes and denials. Maintains department defined quality and productivity standards.

Primary Duties:

• Abstracts, analyzes, and assigns CPT, HCPCS and ICD-10-CM codes for professional services based on documentation in the medical record. Code assignment is primarily for E/M, minor procedures and diagnostic tests and based on industry standards and EvergreenHealth policies.


• Meets department productivity and accuracy standards.


• Promotes a positive working relationship by effectively communicating with clinicians and other support staff regarding changes in the provider’s CPT code selection.


• Evaluates patient coding inquiries to determine coding accuracy based on documentation in the patient’s medical record.


• Evaluates and researches coding denials from payers to determine the appropriate action and drafts appeal letters for Denial Management.


• Identifies and reports trends of code changes, payer denials, missed revenue opportunities and/or compliance risks to the Professional Coding Supervisor.


• Identifies and communicates documentation improvement opportunities to Professional Coding Supervisor.


• Performs other duties as assigned.

License, Certification, Education or Experience:

REQUIRED for the position:

• High school diploma or G.E.D


• Current professional coding credential: AAPC (Certified Professional Coder [CPC], Certified Coding Associate [CCA], Certified Outpatient Coder [COC]), PMI (Certified Medical Coder [CMC]), or AHIMA (Certified Coding Specialist-Physician [CCS-P], Certified Coding Specialist [CCS], Registered Health Information Administrator [RHIA], Registered Health Information Technician [RHIT])


• Good written and verbal communication skills.


• Satisfactory completion of general coding skills assessment


• Proficient knowledge of medical terminology, ICD-10-CM, CPT, and HCPCS coding conventions.


• Basic understanding of anatomy, physiology and disease processes.


• General understanding of payer billing requirements.

DESIRED for the position:

• One year of professional coding experience in a multi-specialty medical group setting

Benefit Information:

Choices that care for you and your family

At EvergreenHealth, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.

• Medical, vision and dental insurance


• On-demand virtual health care


• Health Savings Account


• Flexible Spending Account


• Life and disability insurance


• Retirement plans (457(b) and 401(a) with employer contribution)


• Tuition assistance for undergraduate and graduate degrees


• Federal Public Service Loan Forgiveness program


• Paid Time Off/Vacation


• Extended Illness Bank/Sick Leave


• Paid holidays


• Voluntary hospital indemnity insurance


• Voluntary identity theft protection


• Voluntary legal insurance


• Pay in lieu of benefits premium program


• Free parking


• Commuter benefits

View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below.

Kirkland Employee Benefits | Kirkland, WA | EvergreenHealth