Coder III PRN

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

JOB SUMMARY

This is a per diem role and not benefited. FLexible schedule and hours.

Under general supervision, a Coder III is responsible for abstracting and assigning valid Current Procedural Terminology (CPT), The International Classification of Disease, Tenth Edition (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) codes to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance. This position is responsible for identifying compliance concerns, trends, and educational opportunities to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty.

ESSENTIAL KEY JOB RESPONSIBILITIES
● Accurately abstract information from the medical records into the appropriate billing platforms, ensuring compliance with established guidelines.
● Communicate professionally with providers, practice management, and other stakeholders in writing or verbally.
● Code medical records using ICD-10 and CPT coding rules and guidelines. Ensure thorough and compliant coding to support patient records and submission of billing for payment.
● 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.
● Identify trends and educational opportunities to ensure proper coding, documentation, and accuracy of billing within areas of responsibility/specialty.
● Understand and apply regulatory changes and stay current with coding updates including National Correct Coding Initiative Edits (NCCI) and Medically Unlikely Edits (MUE) edits. 

Minimum Requirements

• High School Diploma or equivalent
• Minimum (5+) five years of physician coding experience required. Previous Epic, Cerner and or other electronic medical record (EMR) experience preferred.
• Must be certified through the American Health Information Management Association (AHIMA) as one of the following: Registered Health Information Management Technician (RHIT), Registered Health Information Management Administrator (RHIA), Certified Coding Specialist (CCS), or Certified Coding Specialist Physician Based (CCS-P) OR Must be certified through the American Academy of Professional Coders (AAPC) as one of the following: Certified Professional Coder-Hospital (CPC-H) or Certified Professional Coder (CPC)

This is not a benefited role.