• Claims Management • Contact insurance companies to verify claim status and request reprocessing when needed • Submit and track insurance appeals and corrected claims • Review and analyze aging reports to resolve outstanding claims • Investigate insurance denials and determine appropriate corrective action • Identify denial patterns and report trends to improve billing processes • Coordinate with internal staff to resolve billing discrepancies • Prepare, audit, and submit claims to primary and secondary payers • Ensure accurate payment postings and balance allocations • Adjust claims according to established billing procedures • Participate in business office phone rotations to support inquiries from patients and external partners • Maintain strict compliance with HIPAA when handling patient financial information • Document all account activity and claim updates thoroughly in billing systems

Role Description Northwest Specialty Hospital is seeking a detail-oriented Medical Coder II to join our Coding Team! In this role you will be responsible for: - Reviewing and analyzing medical records. - Assigning appropriate codes to diagnoses, procedures, and services. - Ensuring accurate and timely submission of claims to insurance companies and government agencies to ensure compliance and proper reimbursement. - Working closely with healthcare providers and billing staff to ensure compliance with coding guidelines and regulations. - Maintaining the financial health of healthcare organizations while ensuring the integrity of patient data. - Projecting a professional demeanor and appearance while maintaining the confidentiality of medical information, physicians, coworkers, and Northwest Specialty Hospital as appropriate. - Performing other duties as assigned. Qualifications - Demonstrates eligibility for employment in the United States. - High school diploma. - Strong knowledge of medical terminology, anatomy, physiology, and disease processes. - Familiarity with ICD-10-CM and CPT coding systems. - Strong attention to detail and analytical skills. - Proficiency in computer applications, including coding software and Microsoft Office. - Excellent communication and interpersonal skills. - Ability to work independently and as part of a team. - Willingness to adhere to coding guidelines and regulations through Continuing Education courses. - Existing and active certification from AAPC or AHIMA. - Four years of coding experience in a healthcare setting, with a focus on inpatient, outpatient, or specialty coding required. Benefits - Company-sponsored events such as sporting events, BBQs, and holiday parties. - Comprehensive health care coverage with options of plans that have 100% employer-paid premiums for Medical, Dental, & Vision Insurance. - Tuition reimbursement. - Growth opportunities, ongoing education, training, and leadership courses. - A generous 401K retirement plan. - A variety of discounts throughout the hospital and community are available to employees. - Wellness benefits offered to staff such as weight loss challenges, access to a dietitian, and discount gym memberships. - Culture that promotes and supports work/life balance. Company Description Northwest Specialty Hospital is widely known for being a center of excellence and is proudly owned and operated by local physicians. The physicians have invested personally, professionally, and financially in the care of the patients and the staff. They have dedicated their lives to creating a hospital that allows them to practice on their own terms and do what’s best for patients. Northwest Specialty Hospital includes 12 operating rooms and 28 inpatient beds, along with a variety of clinics and services throughout Kootenai County, that span across multiple specialties. Northwest Specialty Hospital has earned numerous awards for patient care, surgical skill, medical care, and employee satisfaction. Northwest Specialty Hospital has been recognized as one of the Best Places to Work in the Inland Northwest for seven years! Companies throughout Washington and Idaho were selected based on employee feedback about benefits, work environment, job satisfaction, and other factors. We continue to receive this distinguished honor based on our great company culture, patient-focused approach, and robust benefits package!

• Accurately assign ICD-10 CM, E/M, ICD-10 PCS, CPT, HCPCS, modifiers and units based on documentation. • Adhere to systems and standards required in multi-specialty medical coding encounters, including Outpatient, Emergency Room, Surgery, Inpatient facilities, Inpatient Professional Rounds, and others. • Process encounters within required SLA on contract with deficiencies identified escalated as necessary. • Review and respond to each audit within set time window, with corrections made immediately after final adjudication. • Complete training on all government systems, including all annual and short notice training. • Meet or surpass weekly Productivity and Quality targets. • Coordinate and collaborate with team members and follow directions provided by the Site Manager/Project Manager.

• coding medical records and other documents at the conclusion of the patient’s visit • selection of appropriate admitting diagnosis, principal and secondary diagnoses, principal procedure and secondary procedures • assigning accurate ICD-10 and/or CPT-4 codes • abstracting information including admission source, type, disposition, admitting, attending and procedure attending physicians • addressing all edits during the coding and abstracting process for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital reimbursement • maintaining productivity and quality standards set for the department