What are the responsibilities and job description for the Coder I position at CommonSpirit Health?
Welcome to CHI Saint Joseph Medical Group a full service network of primary care services specializing in family internal geriatric and pediatric care serving 88 locations across central and Eastern Kentucky. CHI Saint Joseph Medical Group is dedicated to delivering customized care based on the unique needs of our patients and is recognized as a Best Place to Work in Kentucky for two years in a row (2023-2024).
CHI Saint Joseph Health is part of CommonSpirit Health a non-profit Catholic health system dedicated to advancing health for all people. With approximately 175000 employees and 25000 physicians and advanced practice clinicians.
Our commitment to serve the common good is delivered through the dedicated work of thousands of physicians advanced practice clinicians nurses and staff; through clinical excellence delivered across a system of 140 hospitals and more than 2200 care centers serving 24 states.
Responsibilities
The Coder I is responsible for accurately abstracting and assigning valid CPT, ICD-9/10, and HCPCS codes to ensure proper reimbursement in compliance with federal, state, and private health plan regulations, as well as organizational and regulatory guidelines. This role typically handles less complex coding tasks under supervision.
Key Responsibilities:
- Accurately abstract information from service documentation and assign appropriate CPT, ICD-9/10, and HCPCS codes in the billing system, ensuring compliance with established guidelines.
- Communicate professionally with providers, practice management, and other stakeholders, both verbally and in writing.
- Review and process coding work queues or task lists in a timely manner.
- Meet or exceed organizational coding productivity and quality standards.
- Stay current with regulatory changes and coding updates, such as NCCI and MUE edits.
- Review and resolve coding-related denials efficiently.
- Participate in special projects and perform other duties as assigned.
Qualifications
Education & Experience:
- High school diploma or equivalent required.
- One year of physician coding experience preferred.
- Previous experience with Electronic Health Records (EHR) preferred.
Licensure & Certification:
- Coding certification required from one of the following organizations:
- American Health Information Management Association (AHIMA): Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician-based (CCS-P).
- American Academy of Professional Coders (AAPC): Certified Professional Coder (CPC).
