PB Coding Coordinator

Intermountain Health; Helena (MT); On-site; USD 43,000 - 67,000; Full time

Job summary

Intermountain Health seeks a senior coding professional to accurately evaluate and resolve coding edits in Epic WQs, review documentation, and assign CPT/HCPCS/ICD-10 codes and modifiers. The role requires Epic Resolute experience and strong knowledge of payer guidelines, with responsibilities including education of providers and QA within the specialty team.

Excellent communication with providers and leadership, adherence to coding regulations, and familiarity with Medicare guidelines are

Qualifications

• Proficiency in CPT, HCPCS, ICD-10 coding.
• Experience with Epic Resolute and PB workflows.
• Proficient with Microsoft Office applications.

Responsibilities

• Evaluate and resolve coding edits in Epic WQs and review documentation.
• Assign CPT, HCPCS, ICD-10 codes and modifiers.
• Explain coding/denial trends to leadership and educate providers.

Skills

CPT, HCPCS, ICD-10 coding

Epic Resolute experience

Microsoft Office suite

Education

CPC Certified Professional Coder (CPC) or CCS-P

Tools

Epic/PB Resolute

Microsoft Office

Job description

Job Description

Accurately evaluate and resolve coding edits in assigned Epic WQs and review documentation and assign appropriate CPT, HCPCS, ICD-10 codes and modifiers as applicable.

Essential Functions

• Effectively navigate Epic EMR, including applicable reports and work queues.
• Accurately evaluate and resolve coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic.
• Review medical record documentation and assign appropriate CPT, HCPCS, ICD-10, and modifiers.
• Effectively evaluate coding bundling guidelines and modifier usage.
• Understand the Medicare Physician Fee Schedule
• Communicate coding/denial trends and provider education opportunities to coding leadership.
• Communicate effectively with providers via Epic in-basket message and email.
• Functionally work within Microsoft Office Suite products & Optum Encoder Pro.
• Provides education/training for medical providers and coders within the department.
• Performs quality assurance audits within specialty team.
• Ensures compliance with coding regulations and guidelines pertaining to specialty area and assists the leadership team in crafting communications, tip sheets and workflows as needed. Monitors and evaluates coding workflows in order to identify opportunities for improvement.
• Utilizes coding knowledge and source-based research to investigate and respond to coding requests related to their specialty area, as needed.
• Promotes mission, vision, and values of Intermountain Health, and abides by service behavior standards.
• Performs other duties as assigned.

Skills

• CPT, HCPCS, ICD-10 coding
• Prior Epic/PB Resolute experience
• Microsoft Office suite

Qualifications

• High School Diploma or equivalent, required
• Minimum of five (5) years of pro fee coding experience with at least three (3) years within assigned specialty service line
• Preferred seven plus (7+) years of related coding experience
• Required credential: CPC Certified Professional Coder (CPC) or Certified Coding Specialist Physician (CCS-P)
• Preferred related specialty coding credential
• Requires E/M (Evaluation & Management) coding and experience coding for the assigned specialty specific service line
• Prefer previous experience using Epic and working work queues

Physical Requirements

• Ongoing need for employee to see and read information, labels, 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 supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.

Location

Lake Park Building

Work City

West Valley City

Work State

Utah

Scheduled Weekly Hours

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$31.01 - $48.84

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.

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

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.

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. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.

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.

Intermountain Health strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email [e-mail] . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

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. (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/peak-program/)

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

All positions subject to close without notice.

Thanks for your interest in continuing your career with our team!