Overview
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.
Responsibilities
- 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.
- Provide education/training for medical providers and coders within the department.
- Perform quality assurance audits within the specialty team.
- Ensure compliance with coding regulations and guidelines pertaining to the specialty area and assist the leadership team in crafting communications, tip sheets and workflows as needed. Monitor and evaluate coding workflows to identify opportunities for improvement.
- Utilize coding knowledge and source-based research to investigate and respond to coding requests related to the specialty area, as needed.
- Promote mission, vision, and values of Intermountain Health, and abide 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
Peaks Regional Office – Broomfield, Colorado
Scheduled Weekly Hours
40
Compensation
Hourly range: $30.55 - $48.12. Actual hourly rate dependent upon experience.
Equal Opportunity
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.
Note
All positions subject to close without notice.