Senior Professional Coder - Duluth Family Medicine Clinic

Essentia Health; Duluth (MN); Remote; USD 200,000 - 250,000; Full time

Job summary

An established healthcare provider is seeking a skilled professional coder to join their team. This role involves reviewing clinical documentation and assigning accurate ICD-10-CM and CPT/HCPCS codes to ensure proper reimbursement. The ideal candidate will have extensive knowledge of coding guidelines and medical terminology, along with a commitment to maintaining high coding quality. With a focus on collaboration, you will work closely with clinicians to enhance documentation practices and support the financial health of the organization. This is a fantastic opportunity to contribute to a vital healthcare team while enjoying a supportive work environment and comprehensive benefits.

Benefits

Medical insurance

Dental insurance

Vision insurance

401(k) plan

Tuition reimbursement

Flexible scheduling

Generous time off

Wellness resources

Qualifications

• Two years of professional coding experience required.
• Certification from AHIMA or AAPC is necessary.

Responsibilities

• Review clinical documentation for accurate coding and reimbursement.
• Collaborate with clinicians to ensure proper documentation.

Skills

ICD-10-CM coding

CPT/HCPCS coding

medical terminology

anatomy and physiology

coding quality assurance

Education

Completion of coding program

Tools

Epic

3M Encoder

Job description

Building Location: Duluth Family Medicine Clinic Department: 2399810 DFMC CLINIC OPERATIONS - DFMC Job Description: This position is responsible for reviewing clinical documentation and assigning ICD-10-CM diagnosis, CPT/HCPCS procedure codes, and modifiers to ensure proper reimbursement for complex professional services. Requires extensive knowledge and understanding of ICD-10-CM and CPT/HCPCS coding guidelines, medical terminology, and disease processes. Works closely with clinicians and operations to ensure complete and accurate documentation, coding, and charges for the professional services provided. Adheres to the quality and productivity standards set by the department. Education Qualifications:

Key Responsibilities:

• Evaluates health record documentation and charges to ensure proper reimbursement and clinicians’ RVUs by ensuring that ICD-10-CM diagnostic and CPT/HCPCS procedural codes, and modifiers accurately reflect and support the professional encounter
• Identifies documentation clarification opportunities to ensure that documentation supports the coding and charges for the services provided. Initiates coding queries and provides feedback to clinicians
• Reviews Local Coverage Determination (LCD)/National Coverage Determination (NCD) policies for ICD-10-CM diagnoses that support medical necessity for services provided
• Works with the coding denials team for education and assists with denial prevention solutions
• Ensures professional encounters are coded accurately and in a timely manner
• Consistently maintains coding quality (95% accuracy) and productivity expectations
• Assists with the training of professional coders
• Performs related duties as required

Educational Requirements:

• Successful completion of a coding program, which included coursework in ICD-10-CM, CPT/HCPCS, medical terminology, anatomy and physiology and disease processes

Required Qualifications:

• Two (2) years of professional coding experience

Preferred Qualifications:

• Epic experience
• 3M Encoder experience

Licensure/CertificationQualifications:

Certification/Licensure Requirements:

• Current certification with American Health Information Management Association (AHIMA) or AAPC and credentialed as Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), and/or Certified Coding Specialist-Physician-Based (CCS-P)
• Specialty certification, i.e., Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiation Oncology Certified Coder (ROCC), etc. required within two (2) years if coding a specialty that requires a special certification

FTE: 1

Possible Remote/Hybrid Option:

Remote Shift Rotation: Day Rotation (United States of America) Shift Start Time: 8:00 Shift End Time: 4:30 Weekends: NO Holidays: No Call Obligation: No Union: Union Posting Deadline:

Compensation Range:

$22.81 - $34.22

Employee Benefits at Essentia Health:

At Essentia Health, we’re committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at [phone].