Kootenai Professional Services Coder II

Job description

Kootenai Professional Services Coder II
28073
Position Summary:
Responsible for the timely and accurate assignment of ICD-10, CPT, and HCPCS codes to accurately reflect services documented in the medical record and ensure compliance with regulatory guidelines. Maintains coding quality and productivity standards while demonstrating strong coding competency. Primary care coding experience preferred.
Responsibilities:
• Reviews the medical record for the assignment of ICD-10, CPT, HCPC codes and modifiers in compliance with hospital guidelines, the current version of ICD Official Guidelines for Coding and Reporting, and UHDDS.
• Assigns and sequences diagnostic and procedure accurately
• Accurately assignment of modifiers
• Seeks clarification from the providers or designated resource to ensure accurate and complete documentation for coding as appropriate.
• Provides education to all assigned providers
• Works in collaboration with the Business Office billing team for specific payer denial reasons.
• Assists in appeal letters as necessary.
• Maintains a working knowledge of reimbursement as it relates to coding: the government prospective payment systems.
• Responsible to identify compliance concerns and education opportunities to the Coding Manager
• Communicates regulatory documentation requirements and education to providers and staff as necessary
• Works collaboratively with Clinic Managers and Coding Manager to define process improvements.
• May be required to work in the clinic; as assigned to work directly with provider(s)
• Performs all functions according to established policies, procedures, regulatory and accreditation requirements as well as applicable professional standards
• Achieves and maintains a high level of accuracy and productivity in coded claims

Requirements and Minimum Qualifications :
• High school diploma or equivalent preferred
• Coding certification required; AAPC or AHIMA
• Knowledge of anatomy and physiology, medical terminology, and pharmacology preferred
• Minimum 1 to 3 years professional services and billing experience
• Demonstrated knowledge of ICD-10/CPT/HCPC coding principles, coding software and the AHIMA coding competencies
• Ability to work effectively in multiple EMR’s including but not limited to Epic, and to code for multiple specialties within priority assignment
• Excellent verbal and written communication skills, and ability to maintains positive working relationships with all levels of clinic staff, including while conducting provider education
• Knowledge of payer specific billing regulations required
• Knowledge of 3M Software preferred

Working Conditions:
• Must be able to maintain a sitting position
• Typical equipment used in an office job
• Repetitive movements
• Remote eligible

About Kootenai Health:
Kootenai Health is a highly esteemed healthcare organization serving patients throughout northern Idaho and the Inland Northwest. We have been recognized with many accolades and distinctions, including being a Gallup Great Workplace, No. 1 Best Place to Work in Large Healthcare Organizations, and Magnet™ Status for Nursing Excellence. We pride ourselves on our outstanding reputation as an employer and a healthcare provider.
As your next employer, we are excited to offer you:
• Comprehensive medical coverage, including fully employer‑paid options for eligible full‑time employees, plus affordable plans for part‑time staff. Benefits begin on the 1st of the month following 30 days of employment.
• Dental, vision, life, and pet insurance, with telemedicine and wellbeing resources available to all employees
• Tuition assistance after 90 days to support your professional growth
• Retirement plans with pre‑tax and Roth options and employer matching from 3%–6%
• Competitive pay, plus night, weekend, and PRN shift differentials
• Award‑winning wellness program with coaching, financial wellness resources, and free or discounted access to fitness centers and premium wellbeing apps
• PerkSpot discounts providing access to thousands of exclusive deals in over 25 categories
• And an employee referral bonus program

Kootenai Health provides exceptional support for extraordinary careers. If you want to work on a high-quality, person-centered healthcare team, we can't wait to meet you!
Apply today!
Kootenai Health complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, veteran status, or sex. Kootenai Health does not exclude people or treat them differently because of race, color, national origin, age, disability, veteran status, or sex.