Responsible for accurately assigning diagnostic and procedural codes for encounters associated with Renown Health Network and Ambulatory Services. This role translates patient information into alpha-numeric medical codes using treatment, health history, diagnosis, and related documentation, ensuring coding aligns with CMS Official Guidelines and other applicable regulatory requirements.
The position focuses on professional fee coding accuracy, reimbursement integrity, and adherence to departmental productivity and quality standards. Coders are accountable for timely and complete coding of accounts, supporting appropriate billing, compliance, and reimbursement workflows.
Key responsibilities include abstracting, analyzing, coding, and auditing professional service encounters using ICD-10-CM, CPT, HCPCS, and modifiers; resolving coding and reimbursement issues; communicating with clinicians and billing teams; and supporting appeals and denial resolution.
High school diploma or GED required.
Minimum of 2-5 years of previous professional fee coding experience required.
CCS, CCS-P, CPC, COC, and/or CIC coding credential required.
Preferred experience includes medical billing and professional billing EMR workflows.
Required knowledge and skills include:
- ICD-10-CM, CPT, HCPCS, modifiers, and E/M coding guidelines
- Anatomy and physiology, pharmacology, disease pathology, and medical terminology
- Medical record review, abstraction, and coding audit processes
- Ability to research and resolve coding, reimbursement, and denial issues
- Familiarity with EPIC, CCI edits, and medical necessity review
- Strong critical thinking, problem-solving, organization, and time management skills
- Proficiency with Microsoft Office Suite and computer-based learning systems
Location
Reno, Nevada, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago