1. Conducts monthly reviews of coding quality by auditing pre and post bill records for coding compliance and records quality for each coder. Reviews findings with the individual coding specialists and, when appropriate, provides education to address deficiencies. Tracks and reports findings to the Coding Manager.
2. Conducts quarterly reviews of coding quality and records quality for each assigned provider. Reviews findings with the individual providers or provider groups and, when appropriate, provides education to address deficiencies. Competent in accessing and using an encoder (3M). Tracks and reports findings to the Coding Manager.
3. Competently performs all duties of a Coding Specialist III.
4. Collaborates with others in the organization including Medical Staff, other clinicians, and physician office staffs; and with Patient Financial Services to ensure the codes submitted for claims are supported by the documentation in the record. When querying clinical staff, uses appropriate querying techniques to avoid leading the clinician and follows up to ensure queried accounts are dropped within 10 days of the query. As needed, involves the department leader. Participates in various hospital/physician committees as appropriate and prepares and provides provider in-services.
5. Attends all required in-services and coder meetings. Identifies and attends training and educational programs conducive to professional growth. Utilizes current literature and workshops attended to the benefit of the organization. New ideas, policies, regulations, and philosophies are adapted to current policies and procedures appropriately. Shares coding policies, procedures, and coding guidance routinely with staff. As necessary, tests staff on their level of understanding the shared materials. Arranges for routine in-service options for coding staff. Locates CMS and third-party payer websites for coding requirements and medical necessity guidelines.
6. Supports the philosophy, objectives, and goals of the organization and department by volunteering in various capacities without compromising performance expectations. Role models the principles of a Just Culture.
7. Contributes to the efficiency of the department. Routinely volunteers to assist others when work is completed.
8. Routinely abides by standards of professional and ethical conduct as defined by CMS, AHIMA, and the professional organization from which the incumbent is certified and/or credentialed.
9. Understands and complies with policies and procedures related to medicolegal matters including confidentiality, amendment of medical records, release of information, patient rights, medical records as legal evidence, informed consent, etc. Is knowledgeable of and complies with HIPAA, Safety and Compliance Program Policies and Procedures.
10. Role models the principles of a Just Culture and Organizational Values.
11. Performs other duties as assigned. Must be HIPAA compliant.

• 5 years coding experience in an acute care setting coding all types of hospital visits/admits with a high degree of skill in outpatient facility and professional coding is required. Experience in orthopedic, spine, cancer, and behavioral health coding a plus.
• 2 years of experience in an acute care setting coding of all types of hospital visits/admits with a high degree of skill in inpatient coding is required.
• 2 years of experience in internal auditing and/or coding education preferred; prefer multi-healthcare setting experience. 

• N/A

One of the following certifications required:

• Registered Health Information Technician (RHIT)
• Registered Health Information Administrator (RHIA)
• Certified Coding Specialist (CCS/CCS-P).
• Certified Professional Coder (CPC)
• Certified Outpatient Coder (COC)
• Certified Professional Medical Auditor (CPMA)

• Use of a computer, keyboard, and mouse and experience with basic Microsoft Office applications, required. Must possess the computer skills necessary to complete work assignments, online learning requirements for job specific competencies, access online forms and policies, complete online benefits enrollment, etc. Use of number pad on keyboard preferred.

• Courses in anatomy, medical terminology, physiology, and/or pharmacology preferred. 
• Graduate of a coding certificate program, associate or bachelor?s degree in health information technology, or other allied health field required.

Application Close Date: April 13th, 2025

Benefits at Vail Health (Full and Part Time) Include:

• Competitive Wages & Family Benefits:
  • Competitive wages
  • Parental leave (4 weeks paid)
  • Housing programs
  • Childcare reimbursement 
• Comprehensive Health Benefits: 
  • Medical
  • Dental 
  • Vision
• Educational Programs: 
  • Tuition Assistance 
  • Existing Student Loan Repayment
  • Specialty Certification Reimbursement
  • Annual Supplemental Educational Funds
• Paid Time Off:
  • Up to five weeks in your first year of employment and continues to grow each year.
• Retirement & Supplemental Insurance:
  • 403(b) Retirement plan with immediate matching 
  • Life insurance
  • Short and long-term disability
• Recreation Benefits, Wellness & More:
  • Up to $1,000 annual wellbeing reimbursement
  • Recreation discounts
  • Pet insurance

Logo

About Vail Health

Vail Health, formerly Vail Valley Medical Center, is a nonprofit community health care system serving patients and guests from around the world. Locally operated and governed by a volunteer board of directors, Vail Health includes a 56-bed hospital, accredited by the Joint Commission. Our 24/7 emergency department in Vail is a Level III Trauma Center with a nearby helipad for necessary medical transports. Vail Health provides a wide array of services and access points including Beaver Creek Medical Center, urgent care clinics in Avon and Gypsum, our Edwards medical campus, Eagle Healthcare Center and a multispecialty clinic in Frisco. Howard Head Sports Medicine offers physical therapy services at 10 locations and works closely with our internationally renowned orthopaedic partners at The Steadman Clinic and Vail-Summit Orthopaedics. In addition, Vail Health's Shaw Cancer Center and Sonnenalp Breast Center are the region’s only fully accredited cancer treatment center and comprehensive breast center. The Vail Clinic, which was founded in 1965, officially became “Vail Valley Medical Center” in 1980, its first year as a full-service hospital. At that time, we had one primary locatio...n and 25 physicians. Today, Vail Health has locations in nine towns, nearly 1,000 employees, 260 physician partners and 85 volunteers. Vail Health is an equal-opportunity employer. The hospital is handicap accessible and adheres to the Americans with Disabilities Act. Smoking is prohibited in our facilities. This includes e-cigarettes.

Show more

Show less

Connections working at Vail Health