PB Coder

About the Role

This position is responsible for accurately resolving coding edits in assigned Epic work queues and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. The role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines.

Responsibilities

• Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic.
• Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders.
• Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes.
• Appropriately escalates coding/denial trends and provider education opportunities.
• Navigates Epic EMR, including applicable reports and work queues.
• Communicates with providers via Epic in-basket message and email per departmental guidelines.
• Adheres to departmental protocols.
• Utilizes organizational and departmental tools as applicable (e.g., Microsoft Office Suite products, Kronos, ServiceHub, Optum Encoder Pro).
• Meets or exceeds productivity standards.
• Participates in continuing education programs to maintain an understanding of anatomy, physiology, medical terminology, disease processes, and surgical techniques to support the effective application of coding guidelines and maintain credentials.

Skills

• Medicare coding guidelines (e.g., NCCI, LCD/NCD)
• CPT
• HCPCS
• ICD-10
• Epic/PB Resolute experience
• Accuracy
• Detail oriented
• Collaborative
• Communication

Qualifications

• Required: CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist – Physician)
• Demonstrated experience in professional fee coding including Evaluation & Management (E/M) services and coding for the specific specialty service line
• Demonstrated proficiency utilizing Microsoft Office tools
• Demonstrated comprehensive knowledge of physician billing and healthcare revenue cycle
• Preferred: High school diploma or equivalent
• Preferred: Related specialty credential through AAPC or AHIMA
• Preferred: Two (2) years of professional fee coding experience in the related specialty
• Preferred: Prior Epic experience

Physical Requirements

• Ongoing need to see and read information, documents, monitors, identify equipment and supplies, and assess customer needs.
• Frequent interactions with providers, colleagues, customers, patients/clients, and visitors requiring verbal communication, as well as hearing and understanding spoken information, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy, including frequent computer use for typing and accessing needed information.
• May have the same physical requirements as clinical or patient care jobs when the leader takes clinical shifts.
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location

Lake Park Building, West Valley City, Utah

Schedule

Scheduled Weekly Hours: 40

Pay

Hourly rate: $28.06 - $44.20 (dependent upon experience)

Benefits

Intermountain provides a generous benefits package covering a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.