Coder III PRN

JOB SUMMARY

This is a per diem role and not benefited. FLexible schedule and hours.

Under general supervision, a Coder III is responsible for abstracting and assigning valid Current Procedural Terminology (CPT), The International Classification of Disease, Tenth Edition (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) codes to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance. This position is responsible for identifying compliance concerns, trends, and educational opportunities to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty.

ESSENTIAL KEY JOB RESPONSIBILITIES
● Accurately abstract information from the medical records into the appropriate billing platforms, ensuring compliance with established guidelines.
● Communicate professionally with providers, practice management, and other stakeholders in writing or verbally.
● Code medical records using ICD-10 and CPT coding rules and guidelines. Ensure thorough and compliant coding to support patient records and submission of billing for payment.
● Enter and validate charges using appropriate tools and validate diagnoses with the medical documentation provided.
● Compare charges on accounts with the procedures coded and identify any discrepancies. Notify Coding Manager of any discrepancies and collaborate as needed to rectify the account.
● Identify trends and educational opportunities to ensure proper coding, documentation, and accuracy of billing within areas of responsibility/specialty.
● Understand and apply regulatory changes and stay current with coding updates including National Correct Coding Initiative Edits (NCCI) and Medically Unlikely Edits (MUE) edits. 

Minimum Requirements

• High School Diploma or equivalent
• Minimum (5+) five years of physician coding experience required. Previous Epic, Cerner and or other electronic medical record (EMR) experience preferred.
• Must be certified through the American Health Information Management Association (AHIMA) as one of the following: Registered Health Information Management Technician (RHIT), Registered Health Information Management Administrator (RHIA), Certified Coding Specialist (CCS), or Certified Coding Specialist Physician Based (CCS-P) OR Must be certified through the American Academy of Professional Coders (AAPC) as one of the following: Certified Professional Coder-Hospital (CPC-H) or Certified Professional Coder (CPC)

This is not a benefited role.

At the heart of CommonSpirit Health's ministry are the national office departments that provide the foundational support, resources, and expertise that empower local communities to focus on what they do best—caring for patients. Our teams bring together expertise in clinical excellence, operations, finance, human resources, legal, supply chain, technology, and mission integration.

Guided by our faith-based values, the national office fosters consistency, alignment, and innovation across CommonSpirit. By centralizing expertise and leveraging economies of scale, we enable each location to operate efficiently while maintaining flexibility to address unique local community needs. From advancing digital solutions to driving health equity, these departments extend the healing presence of humankindness everywhere we serve.