Coder II

As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently.

Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards.

To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time.

• Accurately abstracts information from the service documentation, assigns and sequences appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems, ensuring compliance with established guidelines.
• Communicates professionally with providers, practice management, and other stakeholders verbally or in writing.
• Responsible for working encounters in the coding work queue or task lists in a timely manner.
• Meets or exceeds organizational coding production and quality standards.
• Understands and applies regulatory changes and stays current with coding updates, e.g., NCCI and MUE edits.
• Reviews and resolves coding denials.

Required Qualifications:

• High School Diploma or GED
• Certified Professional Coder or Certified Professional Coder Hospital Apprentice or Certified Professional Coder Apprentice

CommonSpirit Medical Group is a leading provider of comprehensive office management services and affiliated physicians in Southeast Tennessee and North Georgia, dedicated to supporting exceptional healthcare delivery in the region. The organization is recognized for excellence by multiple industry awards.

Pay Range: $23.11 - $34.38 per hour