Kootenai Professional Services Coder II

Kootenai Hospital; Coeur d'Alene (ID); Remote; USD 55,000 - 75,000; Full time

Job summary

Kootenai Health seeks a Professional Services Coder II with experience in Oncology, Primary Care, and Emergency Department coding. Responsibilities include assigning ICD-10 and CPT codes, collaborating with providers, and maintaining coding accuracy. They offer competitive salaries, comprehensive benefits, and a supportive work environment.

Benefits

Comprehensive medical plan options

Tuition assistance program

Retirement plans with matching contributions

Discounts at local fitness centers

Employee wellness program

Qualifications

• Minimum 1 to 3 years professional services and billing experience.
• Knowledge of anatomy and physiology, medical terminology, and pharmacology preferred.
• Ability to work effectively in multiple EMRs.

Responsibilities

• Responsible for assignment of ICD-10 and CPT codes in accordance with regulatory guidelines.
• Review medical records for accurate coding according to hospital guidelines.
• Educate providers on coding requirements.

Skills

ICD-10 Coding

CPT Coding

HCPC Coding

Communication Skills

Collaboration

Education

High school diploma or equivalent

CPC Certification

Tools

Epic

3M Software

Job description

Kootenai Health is on the lookout for a dedicated Kootenai Professional Services Coder II – CPC, with valuable experience in Oncology, Primary Care, and Emergency Department coding. Your expertise in any of these areas can make a significant impact, and mastering all three will truly set you apart!

Our ideal candidate will be a subject-matter expert in Oncology, Primary Care, and/ or Emergency Department coding. CPC-required, Professional coding, clinic and Hospital CPT, ICD-10 coding. Experience in epic, charge review, edits and follow-ups, educating providers when needed and a willingness to learn and cross train in other coding areas.

Responsible for timely and accurate assignment of ICD-10 and CPT, HCPC codes to reflect services documented in the medical record in accordance to regulatory guidelines. Demonstrates coding competencies with quality of coding and daily output of volume consistent with department productivity standards.

Responsibilities:

• Reviewthe medical record for the assignment of ICD-10, CPT, HCPC codes and modifiers in compliance with hospital guidelines, the current version of ICD Official Guidelines for Coding and Reporting, and UHDDS.
• Assigns and sequences diagnostic and procedure accurately
• Accurately assignment of modifiers
• Seeks clarification from the providers or designated resource to ensure accurate and complete documentation for coding as appropriate.
• Provides education to all assigned providers
• Works in collaboration with the Business Office billing team for specific payer denial reasons
• Assists in appeal letters as necessary.
• Maintains a working knowledge of reimbursement as it relates to coding: the government prospective payment systems.
• Responsible to identify compliance concerns and education opportunities to the Coding Manager
• Communicates regulatory documentation requirements and education to providers and staff as necessary
• Works collaboratively with Clinic Managers and Coding Manager to define process improvements.
• May be required to work in the clinic; as assigned to work directly with provider(s)
• Performs all functions according to established policies, procedures, regulatory and accreditation requirements as well as applicable professional standards
• Achieves and maintains a high level of accuracy and productivity in coded claims
• Performs other related duties as assigned
• Regular and predictable attendance is an essential job function
• Enhances and maintains coding knowledge and skills
• Attends meetings and travels to other sites as necessary

Requirements and Minimum Qualifications :

• High school diploma or equivalent preferred
• Coding certification required; AAPC or AHIMA
• Knowledge of anatomy and physiology, medical terminology, and pharmacology preferred
• Minimum 1 to 3 years professional services and billing experience
• Demonstrated knowledge of ICD-10/CPT/HCPC coding principles, coding software and the AHIMA coding competencies
• Ability to work effectively in multiple EMR’s including but not limited to Epic, and to code for multiple specialties within priority assignment
• Excellent verbal and written communication skills, and ability to maintains positive working relationships with all levels of clinic staff, including while conducting provider education
• Knowledge of payer specific billing regulations required
• Knowledge of 3M Software preferred

Working Conditions:

• Must be able to maintain a sitting position
• Typical equipment used in an office job
• Repetitive movements

This position is US-Remote Eligible. Currently, Kootenai Health employeescannotbe located in: California, Hawaii, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Dakota, Rhoda Island, Vermont, Washington D.C., West Virginia, or Wyoming. This list is continuously evolving and may be updated.

About Kootenai Health:

Kootenai Health is a highly esteemed healthcare organization serving patients throughout northern Idaho and the Inland Northwest. We have been recognized with many accolades and distinctions, including being a Gallup Great Workplace, No. 1 Best Place to Work in Large Healthcare Organizations, and Magnet Status for Nursing Excellence. We pride ourselves on our outstanding reputation as an employer and a healthcare provider.

As your next employer, we are excited to offer you:

• Kootenai Health offers comprehensive medical plan options, including options for fully paid employer premiums for our full-time employees. For part-time employees, we offer the same plan options with affordable part-time premiums. In addition to medical insurance, we offer many voluntary benefits ranging from dental and vision to life and pet insurance. Kootenai Health also offers well-being resources and telemedicine service options to all employees, regardless of benefit eligibility. Benefits begin on the 1 st of the month following 30 days of employment.
• Kootenai Health’s tuition assistance program is available after 90 days. If you want to further your education, we'll help you pay for it
• Kootenai Health sponsors retirement plans for employees that enable you to save money on a pre-tax and Roth after tax basis for your retirement. Kootenai Health will match your contributions based on years of service ranging from 3-6 percent.
• Competitive salaries with night, weekend, and PRN shift differentials
• An award-winning and incentive-driven wellness program. Including a MyHealth corporate team, onsite financial seminars, and coaching
• Employees receive discounts at The Wellness Bar, PEAK Fitness, and more
• Robust and interactive employee referral program
• And much more

If you strive to be an integral part of a high-quality healthcare system like Kootenai Health, we want to meet you!

Apply today! You can also contact Lindsay Buchanan at [e-mail] the HR Front Desk at 208-625-4620 or email [e-mail] with any questions.

Kootenai Health complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, veteran status, or sex. Kootenai Health does not exclude people or treat them differently because of race, color, national origin, age, disability, veteran status, or sex.

A variety of medical, dental, and vision insurance plans are available to both full and part-time employees, with some available at no cost to the employee. In addition, benefit-eligible employees also gain access to the following:

• Tuition assistance and career development programs
• Robust Retirement Plan
• Night, weekend and PRN shift differentials
• Employee referral bonus program

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