Kootenai Professional Services Coder II

Kootenai Health - Coeur d'Alene, ID

Full-time - Entry Level

Hybrid - Coeur d'Alene, ID

Hospitals

About the position

The Coder II position at Kootenai Health is responsible for the accurate and timely assignment of ICD-10, CPT, and HCPC codes based on the services documented in medical records. This role ensures compliance with regulatory guidelines and maintains high standards of coding quality and productivity. The coder collaborates with healthcare providers and the billing team to address coding queries and denial reasons, while also providing education to enhance documentation practices.

Responsibilities

• Reviews the medical record for the assignment of ICD-10, CPT, HCPC codes and modifiers in compliance with hospital guidelines.
• Assigns and sequences diagnostic and procedure codes accurately.
• Ensures accurate assignment of modifiers.
• Seeks clarification from providers to ensure accurate and complete documentation for coding.
• Provides education to all assigned providers.
• Collaborates with the Business Office billing team for specific payer denial reasons.
• Assists in appeal letters as necessary.
• Maintains knowledge of reimbursement as it relates to coding and government prospective payment systems.
• Identifies compliance concerns and education opportunities for the Coding Manager.
• Communicates regulatory documentation requirements to providers and staff as necessary.
• Works with Clinic Managers and Coding Manager to define process improvements.
• May be required to work in the clinic directly with providers.
• Performs all functions according to established policies and procedures.
• Achieves and maintains a high level of accuracy and productivity in coded claims.
• Performs other related duties as assigned.
• Maintains regular and predictable attendance.
• Enhances and maintains coding knowledge and skills.
• Attends meetings and travels to other sites as necessary.

Requirements

• High school diploma or equivalent preferred.
• Coding certification required; AAPC or AHIMA.
• Knowledge of anatomy and physiology, medical terminology, and pharmacology preferred.
• Minimum 1 to 3 years professional services and billing experience.
• Demonstrated knowledge of ICD-10/CPT/HCPC coding principles and coding software.
• Ability to work effectively in multiple EMRs, including Epic, and to code for multiple specialties.
• Excellent verbal and written communication skills.
• Ability to maintain positive working relationships with all levels of clinic staff.
• Knowledge of payer specific billing regulations required.
• Knowledge of 3M Software preferred.

Benefits

• 100% employer-paid health insurance premiums for full-time employees.
• Part-time employees pay a small portion for medical, dental, and vision coverage.
• Benefits start 1st of the month following 30 days of employment.
• Tuition assistance program available after 90 days.
• Kootenai Health retirement plan.
• Competitive salaries with night, weekend, and PRN shift differentials.
• Award-winning wellness program including onsite financial seminars and coaching.
• Employee discounts at The Wellness Bar, PEAK Fitness, and various cell phone carriers.
• Robust employee bonus program with a mobile app for tracking.