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CommonSpirit Health

CommonSpirit Health is a nonprofit organization that is on a mission to improve people’s health while making “the healing presence of God known.” The orga

Clinic Coder II-Primary Care

Location

United States

Posted

4 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Clinic Coder II-Primary Care

CommonSpirit Health

Role Description As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. - Accurately translate patients’ medical records into standardized codes for diagnoses and treatments. - Ensure compliance with legal, regulatory, and organizational standards. - Combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. - Maintain clear communication with providers and staff to ensure claims are processed correctly and on time. - Accurately abstract information from the medical records into the appropriate coding systems. - Determine the most appropriate diagnosis after a thorough review of the medical records. - Work closely with practice staff regarding coding and assignment of MS-DRGs (Diagnosis Related Group) and APCs (Ambulatory Payment Classification). - Code medical records using ICD-9-CM and CPT-4 coding rules and guidelines. - Ensure thorough and compliant coding to support patient records and submission of billing for payment. - Accurately sequence diagnostic and procedural codes according to organization specified procedures. - Provide codes to various departments upon request. - Enter and validate charges using appropriate tools and validate diagnoses with the medical documentation provided. - Compare charges on accounts with the procedures coded and identify any discrepancies. - Notify Coding Manager of any discrepancies and collaborate as needed to rectify the account. Qualifications - Certified Professional Coder, upon hire - Certified Professional Coder Hospital Apprentice, upon hire - Certified Professional Coder Apprentice, upon hire - Certified Coding Associate, upon hire - Cardiology Coding, upon hire - Certified Coding Specialist, upon hire - Certified Coding Specialist - Physician Based, upon hire - Certified Cardiovascular and Thoracic Surgery Coder, upon hire - Certified Health Care Compliance, upon hire - Certified Interventional Radiology Cardio Coder, upon hire - Certified Professional Coder Hospital, upon hire - Radiology Certified Coder, upon hire - Registered Health Information Administrator, upon hire - Registered Health Information Technician, upon hire Requirements - Prior Healthcare Billing Experience (Preferred)

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