Centura Health Coder II in Centennial, Colorado
Centura Health Physician Group (CHPG) offers providers a true opportunity to live their calling to care while experiencing the support of a built-in comprehensive network, vast resources, professional growth, trusted leadership, generous benefits and an amazing quality of life with locations that span Colorado and into Western Kansas. CHPG is proud to connect providers and consumers through state-of-the-art technology, clinical resources and professional expertise to help people live healthier. Our coordinated services represent a full continuum of care – from preventive and early diagnoses to leading-edge treatment and life-saving critical care. CHPG’s ability to deliver better health care value is the direct result of combining the best clinical tools, shared resources and medical expertise with a patient-centered approach that emphasizes Centura Health’s mission and commitment to quality, compassion and service.
*JOB DESCRIPTION/JOB POSTING ID: 108082*
Work from home opportunity! Must live in CO, KS, or NM for eligibility
Monday - Friday, 8-5
Occasional travel to other sites to meet the needs of the clinic may be required.
This is a senior level professional fee coding position with at least three (3) or more years’ experience in multiple specialties; coding both inpatient and outpatient professional fee services. Coder II staff key duties include reviewing documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes, resolve edits in WQs (charge review, claim edit, and follow up), and review denials for possible corrected claims or appeals. Coder II will work with clinic supervisors and/or providers to resolve coding issues and questions, following applicable payer rules and guidelines. This individual will also work with members of the Revenue Management team to address coding issues and concerns.
High School Degree required; Associates degree or equivalent work experience in lieu of degree preferred
Advanced coding knowledge for professional services to include ICD-9 and 10, CPT-4 , HCPCS and 1500 billing
Anatomy and physiology, and medical terminology required
_WORK EXPERIENCE REQUIREMENTS_
A minimum of 3 years experience in professional fee coding required.
Experience with the electronic health record (EHR) and health care applications required. Epic experience preferred.
Demonstrate advanced computer skills, including Microsoft Office applications to include Word, Excel, PowerPoint.
Demonstrate excellent interpersonal, organizational and communication skills.
CPC or CCS-P required
Additional coding certifications preferred (specialty credential(s)/CPMA)
_POSITION DUTIES (ESSENTIAL FUNCTIONS)_
Uses appropriate tools, code books, references, and systems to determine proper coding for services based upon documentation in the patient record.
Maintains assigned work queues and coding assignments within defined processing timeframes.
Submits appropriate queries to providers for clarification when needed.
Follows established protocols to promote efficiencies within the department and timely filing of claims.
Performs coding audits and education if requested.
Ability to code at least three (3) or more different specialties; or at least one highly complex specialty (ie: Cardiology).
Assists Revenue Management team with crafting language for appeals as needed.
Meets productivity and accuracy standards established by management.
Participates in ad hoc workgroups to improve operations as needed.
This job description is not intended to be an exhaustive list of all duties. Employee may perform other related duties as assigned.
- Sedentary work -(prolonged periods of sitting and exert up to 10lbs force occasionally)
Important notification to applicants as of Nov. 20, 2014: Effective Jan. 1, 2015, Centura Health will no longer hire tobacco users in Colorado and Kansas. The change to our policy does not apply to associates hired on or before Dec. 31, 2014. Centura Health is an Equal Opportunity Employer, M/F/D/V.