Professional Coding Consultant Senior

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 certification

• - OR - certification obtained within 1 year of hire date.
• Associate’s degree in a related field 
• - OR - Intermediate experience in presenting, teaching and/or consulting.

• Demonstrated excellent written/verbal communication and presentation skills.
• Proven strong work ethic and commitment to building relationships and working with others. 
• Experience with calendaring, email, word processing, and spreadsheet applications, EMR and Microsoft Access.
• Ability to travel.

Preferred Qualifications

• Bachelor's degree in a related field
• - OR - Four years experience in presenting, teaching and/or consulting.
• Two years experience in coding and auditing.
• Demonstrated understanding of medical terminology, medical acronyms, anatomy and physiology, knowledge at a specialty-specific level.
• Understanding of the medical environment and general processes and procedures employed by clinics in general that affect and associate with clinical documentation and coding.
• Demonstrated experience in a role requiring subject-matter expertise in consulting on coding-related issues.
• Understanding the overall revenue cycle process.
• Understanding of, and experience in, Professional Coding and Reimbursement department internal policies, procedures, databases and reports.

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. 

$31.01 - $48.84

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.

At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.