The Professional Billing Coder II 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.
This role helps ensure data integrity for internal and external reporting, maintains work queues within processing timeframes, responds to billing code inquiries, and follows compliance guidelines.
Essential Functions
- Evaluate and resolve coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic.
- Assign ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders.
- Resolve assigned coding edits accurately and within required timeframes.
- Escalate coding and denial trends, and identify provider education opportunities.
- Navigate Epic EMR, including reports and work queues.
- Communicate with providers via Epic in-basket messages and email.
- Follow departmental protocols.
- Use organizational tools such as Microsoft Office Suite, Kronos, ServiceHub, and Optum Encoder Pro.
- Meet or exceed productivity standards.
- Participate in continuing education to maintain knowledge of anatomy, physiology, medical terminology, disease processes, and surgical techniques.
Requirements & Qualifications
Skills
- Medicare coding guidelines, including NCCI and LCD/NCD
- CPT
- HCPCS
- ICD-10
- Epic / PB Resolute experience
- Accuracy and attention to detail
- Collaboration
- Communication
Qualifications
- CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist – Physician)
- Demonstrated experience in professional fee coding, including Evaluation & Management services and specialty-specific coding
- Demonstrated proficiency with Microsoft Office tools
- Demonstrated knowledge of physician billing and healthcare revenue cycle
- Preferred: High school diploma or equivalent
- Preferred: Related specialty credential through AAPC or AHIMA
- Preferred: Two years of professional fee coding experience in the related specialty
- Preferred: Prior Epic experience
Benefits & Perks
We care about your well-being — mind, body, and spirit — and provide a generous benefits package designed to support a sustainable culture of wellness and connection.
Location
Utah, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
2 weeks ago
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