PB Coder

10700 Revenue Cycle Organization; United States; On-site; USD 39,000 - 61,000; Full time

Benefits offered by this job

Education assistance

Wellness benefits

Job summary

Intermountain Health is seeking a Med Grp Professional Billing Coder II to resolve coding edits in Epic WQ and assign ICD-10, CPT, HCPCS codes and modifiers based on clinical documentation. You’ll maintain data integrity for internal and external reporting and meet processing timelines.

Essential functions include evaluating edits in Epic, escalating coding trends as needed, and using MS Office tools. Requires CPC/CCS-P, E/M coding experience, and a related credential from AAPC/AHIMA.

Qualifications

• Must hold CPC or CCS-P credentials and demonstrate professional fee coding experience.
• Proficient in Microsoft Office Suite and physician billing workflows.
• Knowledge of E/M coding and health care revenue cycle practices.

Responsibilities

• Evaluates and resolves coding edits in Charge Review, Claim Edit, and Follow-up queues in Epic.
• Assigns ICD-10, CPT, and HCPCS codes based on documentation and orders.
• Communicates with providers via Epic in-basket and email per guidelines.

Skills

CPC/CCS-P

Professional fee coding

Microsoft Office

Education

High school diploma or equivalent

AAPC/AHIMA credential

Job description

Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines.

Essential Functions

Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately escalates coding/denial trends and provider education opportunities. Navigates Epic EMR, including applicable reports and work queues. Communicates with providers via Epic in-basket message and email per departmental guidelines. Adheres to departmental protocols. Utilizes organizational and departmental tools as applicable (i.e. Microsoft Office Suite products, Kronos, ServiceHub, Optum Encoder Pro, etc.). Meets or exceeds productivity standards. Participates in continuing education programs to maintain an understanding of anatomy, physiology, medical terminology, disease processes, and surgical techniques to support the effective application of coding guidelines and maintain credentials.

Qualifications Required

• CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist – Physician)
• Demonstrated experience in professional fee coding including Evaluation & Management (E/M) services and coding for the specific specialty service line
• Demonstrated proficiency utilizing Microsoft office tools
• Demonstrated comprehensive knowledge of physician billing, healthcare revenue cycle

Preferred Qualifications

• High school diploma or equivalent
• Related specialty credential through AAPC or AHIMA
• Two (2) years of professional fee coding experience in the related specialty

Physical Requirements

Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs. Frequent interactions with providers, colleagues, customers, patients/clients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately. Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc. May have the same physical requirements as those of clinical or patient care jobs, when the leader takes clinical shifts. For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location

Lake Park Building, West Valley City, Utah

Work Hours

Scheduled Weekly Hours: 40

Compensation

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $28.06 - $44.20

Benefits

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Equal Opportunity & Diversity

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Privacy & AI

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment.

All positions subject to close without notice.

About Intermountain Health

Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment. To find out more about us, head to our career site here.

Education & Tuition Assistance

Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more.