Claims Solution Coder

Job Description:

Our employees whom we call “caregivers,” take pride in the contribution they make to lowering the cost of healthcare and improving the patient billing experience. Our caregivers work together to provide a collaborative, friendly environment and provide quality and individualized service.

Our Claims Solution Specialist – Coders leverage their professional coding expertise and understanding of the professional revenue cycle to perform coding abstraction and reviews, and final validation and resolution of complex professional claims issues requiring coding expertise. They provide mentorship to Claims Solution Specialists, and engage clinic leadership, providers, and other billing colleagues to participate in the continuous improvement efforts focused on increasing the efficiency and accuracy of the professional claims process.

Resolves advanced claims issues requiring certified coding expertise.

Mentors and designs tools to support Claims Solution Specialists in the performance of their daily responsibilities, including provides training, answers questions through the coding helpline, designs standing orders to facilitate management of claims without coding experience or certification.

Physical Requirements:

Minimum Qualifications:     

CPC coding certification.

Professional coding experience or medical billing experience.

Preferred Qualifications:

Advanced coding knowledge (e.g., CCI edits, appeal management)

Root cause analysis experience

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:

American Fork Clinic

Work City:

American Fork

Work State:

Utah

Scheduled Weekly Hours:

40

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

$21.98 - $33.48

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 packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado, Montana, and Kansas based caregivers; and our commitment to diversity, equity, and inclusion.

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.

All positions subject to close without notice.