Specialist-Clinical Coding II

Indiana University Health; Indianapolis (IN); Hybrid; USD 65,000 - 90,000; Full time

Job summary

Indiana University Health seeks an experienced coder for IP and OP coding, with a strong foundation in ICD-10-CM, CPT, and APC assignments. Must reside in Indiana and be able to work a hybrid schedule, with days whose hours may vary.

Responsibilities include reviewing documentation, coding accurately, handling denials, and maintaining high quality and productivity. Desired credentials include RHIT/CCS and Epic/IDX experience.

Qualifications

• Requires a minimum of 3 years of ICD-9-related experience with CPT coding and APC grouping.
• Ability to read, understand and interpret medical records and other treatment documentation.
• High level of concentration and accuracy in a high-volume environment.
• Effective written and verbal communication with physicians and teams.
• Preferred certifications CPC, CCS, Epic, IDX, 3M, Excel, FinThrive (KnowledgeSource).

Responsibilities

• Review clinical documentation and diagnostic results.
• Assign accurate ICD-10-CM, CPT, and HCPCS codes.
• Ensure correct APC assignment.
• Resolve pre-bill coding edits and denials.
• Maintain coding quality, productivity, and compliance standards.
• Provide operational support to stay current on workflows and functions.

Skills

Attention to detail

Verbal communication

Written communication

Work well in high-volume environment

Education

HS Diploma or GED

RHIT or CCS credential

Tools

Epic

IDX

3M

Excel

FinThrive (KnowledgeSource)

Job description

• Inpatient (IP) and Outpatient (OP) coding experience

Overview

Schedule:

Days (hours may vary)

Hybrid:

Must reside in Indiana

Preferred Specialty Experience:

• OB/GYN coding experience
• Inpatient (IP) and Outpatient (OP) coding experience

Benchmarks for Success

1-4 Months

• Complete onboarding and compliance requirements
• Gain access to required systems
• Shadow team members and workflows
• Begin outpatient coding responsibilities

4-9 Months

• Perform more complex coding assignments
• Meet productivity and accuracy standards
• Work coding denials and pre-bill edits

9-12 Months

• Independently code complex cases
• Proficient in both inpatient and outpatient coding
• Function fully independently within the role

Top Responsibilities

• Review clinical documentation and diagnostic results
• Assign accurate ICD-10-CM, CPT, & HCPCS codes
• Ensure accurate APC assignment
• Resolve pre-bill coding edits
• Work coding-related denials
• Maintain coding quality, productivity, and compliance standards
• Provide operational support as needed to remain current on workflows and functions

Required Skills

• Requires high school diploma or equivalent.

RHIT or CCS credential required.

Systems Experience Preferred

• Requires a minimum of 3 years of relevant experience in ICD-9; CPT code assignment and APC grouping.
• Requires ability to read, understand and interpret medical records and other treatment documentation.
• Requires high level of concentration.
• Requires the ability to function effectively in a high-volume environment.
• Requires effective written and verbal communication skills to communicate with physicians. Preferred Certifications
• CPC (AAPC)
• CCS (AHIMA)
• Epic
• IDX
• 3M
• Excel
• FinThrive (KnowledgeSource)

We are an equal opportunity employer. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.