Kootenai Professional Services Coder II

• Schedule/Shift/Hours Full Time
  - Days
  - Remote Eligible

Responsible for timely and accurate assignment of ICD-10 and CPT, HCPC codes to reflect services documented in the medical record in accordance to regulatory guidelines. Demonstrates coding competencies with quality of coding and daily output of volume consistent with department productivity standards.

Responsibilities:

• Reviews the medical record for the assignment of ICD-10, CPT, HCPC codes and modifiers in compliance with hospital guidelines, the current version of ICD Official Guidelines for Coding and Reporting, and UHDDS.
  • Assigns and sequences diagnostic and procedure accurately
  • Accurately assignment of modifiers
• Seeks clarification from the providers or designated resource to ensure accurate and complete documentation for coding as appropriate.
• Provides education to all assigned providers
• Works in collaboration with the Business Office billing team for specific payer denial reasons.
  • Assists in appeal letters as necessary.
  • Maintains a working knowledge of reimbursement as it relates to coding: the government prospective payment systems.
• Responsible to identify compliance concerns and education opportunities to the Coding Manager
• Communicates regulatory documentation requirements and education to providers and staff as necessary
• Works collaboratively with Clinic Managers and Coding Manager to define process improvements.
• May be required to work in the clinic; as assigned to work directly with provider(s)
• Performs all functions according to established policies, procedures, regulatory and accreditation requirements as well as applicable professional standards
• Achieves and maintains a high level of accuracy and productivity in coded claims
• Performs other related duties as assigned
• Regular and predictable attendance is an essential job function
• Enhances and maintains coding knowledge and skills
• Attends meetings and travels to other sites as necessary

Requirements and Minimum Qualifications :

• High school diploma or equivalent preferred
• Coding certification required; AAPC or AHIMA
• Knowledge of anatomy and physiology, medical terminology, and pharmacology preferred
• Minimum 1 to 3 years professional services and billing experience
• Demonstrated knowledge of ICD-10/CPT/HCPC coding principles, coding software and the AHIMA coding competencies
• Ability to work effectively in multiple EMR’s including but not limited to Epic, and to code for multiple specialties within priority assignment
• Excellent verbal and written communication skills, and ability to maintains positive working relationships with all levels of clinic staff, including while conducting provider education
• Knowledge of payer specific billing regulations required
• Knowledge of 3M Software preferred

Working Conditions:

• Must be able to maintain a sitting position
• Typical equipment used in an office job
• Repetitive movements

About Kootenai Health:

Kootenai Health is a highly esteemed healthcare organization serving patients throughout northern Idaho and the Inland Northwest. We have been recognized with many accolades and distinctions, including being a Gallup Great Workplace, No. 1 Best Place to Work in Large Healthcare Organizations, and Magnet™ Status for Nursing Excellence. We pride ourselves on our outstanding reputation as an employer and a healthcare provider.

As your next employer, we are excited to offer you:

Kootenai Health offers comprehensive medical plan options, including options for fully paid employer premiums for our full-time employees. For part-time employees, we offer the same plan options with affordable part-time premiums. In addition to medical insurance, we offer many voluntary benefits ranging from dental and vision to life and pet insurance. Kootenai Health also offers well-being resources and telemedicine service options to all employees, regardless of benefit eligibility.

Benefits begin on the 1st of the month following 30 days of employment.

Kootenai Health’s tuition assistance program is available after 90 days. If you want to further your education, we'll help you pay for it

Kootenai Health sponsors retirement plans for employees that enable you to save money on a pre-tax and Roth after tax…