Professional Coding Consultant Senior I

Job Description :

Provide intermediate-level expertise in the areas of national physician code sets, insurance reimbursement, coding compliance issues, and internal coding policies, procedures, and processes, to employed and contracted Intermountain primary care physicians, advanced practice clinicians (APC), their managers, and staff.

Essential Functions

Provide prospective (pre-billing) coding reviews to Intermountain providers and staff.

Develop and presents prepared single specialty technical and process-based clinical documentation and coding education for providers, managers and staff.

Participate in resolving questions from the Medical Group Coding Helpline for assigned specialties.

Support higher-level consultants and managers in their responsibilities and acts as an overflow in support of other departmental processes and functions as assigned.

Manage assigned area(s) or responsibility and workload.

Develop understanding and correct application of general ICD and CPT guidelines.

Maintain subject-matter expertise and educates providers and staff accordingly.

Support all internal (Professional Coding and Reimbursement) departmental functions and processes.

Skills

Healthcare Common Procedure Coding System (HCPCS)

ICD Coding

Medical Billing and Coding

Medical Insurance Coding

Medical Records Management

Coding Education

Coding Practices

Clinical Documentation

Health Administration

Minimum Qualifications

CPC or equivalent national professional coding certification.

• OR-

Certification obtained within 1 year of hire date

Demonstrated experience as a trainer, educator, or consultant.

Demonstrated experience in coding or auditing.

Demonstrated experience in a role requiring subject-matter expertise in consulting on coding-related issues.

Demonstrated understanding of medical terminology, medical acronyms, anatomy and physiology, knowledge at a specialty-specific level.

Demonstrated excellent written / verbal communication and presentation skills.

Ability to travel.

Preferred Qualifications

Degree in a related field. Degree must be obtained through an accredited institution. Education is verified.

Four years of experience as a trainer, educator, or consultant.

Two years of experience in coding or auditing.

One year of experience in a role requiring subject-matter expertise in consulting on coding-related issues.

One year of experience interpreting national regulatory guidance.

Experience with calendaring, email, word processing, and spreadsheet applications, Centricity Business (IDX), Help2, EMR and Microsoft Access.

Understanding of, and experience in, Professional Coding and Reimbursement department policies, procedures, and guideline interpretations.

Competence in the utilization of Professional Coding and Reimbursement department tools, databases, and reports to track progress on assigned projects and produce meaningful information for provider practices.

Physical Requirements

Interact with others requiring the employee to communicate information.

Operate computers and other office equipment requiring the ability to move fingers and hands.

See and read computer monitors and documents.

Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.

Location :

Employee Service Center

Work City : Murray

Work State : Utah

Scheduled Weekly Hours :

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$30.55 - $48.12

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here () .

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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All positions subject to close without notice.