Professional Coding Consultant Senior

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., The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

• Healthcare Common Procedure Coding System (HCPCS)

• ICD Coding

• Medical Billing and Coding, + 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.

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 (https://intermountainhealthcare.org/careers/benefits) .

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.

Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.