Centura Health connects individuals, families and neighborhoods across Colorado and western Kansas with more than 21,000 of the most talented hearts and minds in medicine.
Through Centura Health’s 17 hospitals, two senior living communities, health neighborhoods, physician clinics, Flight for Life® Colorado, home care and hospice services, we offer a diverse range of work settings in a Colorado or Kansas community you will love to call home.
Enjoy amazing people, competitive pay, some of the best benefits in the industry and plenty of opportunity for professional growth and development.
If you’re ready to discover the difference of working for a fully-integrated health system with a non-profit, faith-based mission to care, we look forward to receiving your application.
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.
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.
Find your ideal career at Centura Health! With 16 hospitals, physician clinics, hospice services, home care and senior living communities, Centura Health's vast network of care spans Colorado and Western Kansas so you can experience a balanced lifestyle and enjoy a fulfilling career anywhere you want to work, live and play in Colorado. From the fast pace of a Denver-area Level 1 Trauma Center to a... smaller rural or mountain hospital – we proudly offer a more diverse range of work settings and locations than any other health care employer in the state. Centura is an equal opportunity employer.