Clinic Coder II

CHI Health Clinic; United States; Sur place; USD 60 000 - 85 000; Plein temps

Résumé du poste

CHI Health Clinic seeks a Clinic Coder II to ensure accurate abstraction and coding of patient records per ICD-9-CM and CPT-4 guidelines. You will support revenue cycle management by validating charges and aligning documentation with payer requirements.

In this role, you will collaborate with practice staff, resolve coding discrepancies, and uphold confidentiality and ethical standards. Professional coders with CPC/CCS/RHIT or RHIA credentials are highly valued.

Qualifications

• Must hold one of the listed professional coding certifications.
• Experience with ICD-9-CM and CPT-4 coding rules.
• Knowledge of MS-DRG and APC assignments and ethical medical billing.

Responsabilités

• Abstract and code patient records in line with coding guidelines.
• Review medical records to assign accurate diagnoses and procedures.
• Validate charges against documentation and resolve discrepancies.
• Collaborate with management to ensure correct account rectification and compliance.

Connaissances

Attention to detail

Critical thinking

Data confidentiality

Formation

Certified Professional Coder (CPC)

Certified Coding Associate (CCA)

Cardiology Coding

Certified Coding Specialist - Physician Based (CCS-PB)

Certified Cardiovascular and Thoracic Surgery Coder

Registered Health Information Administrator (RHIA)

Outils

Automated billing systems

Description du poste

Where You'll Work

From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.

Job Summary and Responsibilities

As our Clinic Coder II, you will be instrumental in the financial health and operational integrity of our healthcare ministry. Your primary responsibility will be to accurately abstract and code patient records in compliance with established coding, billing, and data collection guidelines. You'll play a critical role in optimizing revenue cycle management, ensuring compliant data submission, and contributing to the overall success of our clinic's financial services.

Every day you will meticulously review medical records to determine the most appropriate diagnoses, utilizing ICD-9-CM and CPT-4 coding rules and guidelines. You'll work closely with practice staff on MS-DRG and APC assignments, accurately sequence diagnostic and procedural codes, and validate charges against medical documentation. Your role includes identifying and resolving discrepancies in coded charges, collaborating with management to ensure accurate account rectification and upholding the highest ethical standards in medical billing.

To be successful in this medical coding specialist role, you will need a strong understanding of healthcare billing, robust knowledge of medical insurance, payer contracts, and automated systems. You'll possess exceptional attention to detail, critical thinking skills, and a commitment to accuracy, maintaining strict confidentiality of medical records. Candidates with professional coding certifications (CPC, CCS, RHIT, RHIA, etc.) and experience in a revenue cycle optimization environment are highly desired, demonstrating your ability to thrive with limited oversight in a financial services in healthcare setting.

Job Requirements

Required

• Certified Professional Coder, upon hire or
• Certified Coding Associate, upon hire or
• Cardiology Coding, upon hire or
• Certified Coding Specialist - Physician Based, upon hire or
• Certified Cardiovascular and Thoracic Surgery Coder, upon hire or
• Registered Health Information Administrator, upon hire

Preferred

• Prior Healthcare Billing Experience