Accurately evaluate and resolve coding edits in assigned Epic work queues and review documentation to assign appropriate CPT, HCPCS, ICD-10 codes, and modifiers.
Essential Functions
- Navigate Epic EMR, including reports and work queues.
- Resolve coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic.
- Review medical record documentation and assign appropriate CPT, HCPCS, ICD-10, and modifiers.
- Evaluate coding bundling guidelines and modifier usage.
- Understand the Medicare Physician Fee Schedule.
- Communicate coding and denial trends, along with provider education opportunities, to coding leadership.
- Communicate effectively with providers via Epic in-basket messages and email.
- Work within Microsoft Office Suite and Optum Encoder Pro.
- Provide education and training for medical providers and coders within the department.
- Perform quality assurance audits within the specialty team.
- Ensure compliance with coding regulations and guidelines for the specialty area and assist leadership with communications, tip sheets, and workflows.
- Monitor and evaluate coding workflows to identify opportunities for improvement.
- Use coding knowledge and source-based research to investigate and respond to coding requests related to the specialty area.
- Perform other duties as assigned.
Requirements & Qualifications
Qualifications
- High school diploma or equivalent required.
- Minimum of 5 years of professional fee coding experience, including at least 3 years within the assigned specialty service line.
- Preferred: 7+ years of related coding experience.
- Required credential: CPC or CCS-P.
- Preferred: related specialty coding credential.
- Experience with E/M coding and coding for the assigned specialty service line.
- Preferred experience using Epic and working work queues.
Skills
- CPT, HCPCS, and ICD-10 coding
- Prior Epic/PB Resolute experience
- Microsoft Office Suite
Physical Requirements
- Ability to see and read information, labels, documents, and monitors.
- Frequent verbal communication with providers, colleagues, customers, patients, and visitors.
- Manual dexterity for computer use and handling supplies and equipment.
Benefits & Perks
Intermountain Health offers a generous benefits package designed to support wellness and a sustainable culture of health, security, connection, and engagement.
Location
Utah, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 week ago
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