Specialist-Clinical Coding II

IU Health; Indianapolis (IN); Hybrid; USD 60,000 - 80,000; Full time

Job summary

IU Health in Indiana seeks an experienced inpatient/outpatient coder to join our health system. You will review clinical documentation, assign ICD-10-CM, CPT, and HCPCS codes, and ensure accurate APC assignments while handling pre-bill edits.

The role is hybrid and requires residency in Indiana, with a RHIT or CCS credential and 3+ years of coding experience. Proficiency with Epic, IDX, and Excel is preferred.

Qualifications

• Requires high school diploma or equivalent.
• RHIT or CCS credential required.
• Minimum of 3 years of relevant ICD-9 experience; CPT code assignment and APC grouping.
• Ability to read, understand and interpret medical records and other treatment documentation.
• Requires high level of concentration and ability to work in a high-volume environment; communicate with physicians.

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.

Skills

ICD-10-CM / CPT coding

CPC (certification)

CPT code assignment

APC grouping

Medical record interpretation

Education

High school diploma or equivalent

RHIT or CCS credential

Tools

Epic

IDX

3M

Excel

FinThrive KnowledgeSource

Job description

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.
  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)

Systems Experience Preferred

• Epic
• IDX
• 3M
• Excel
• FinThrive (KnowledgeSource)