PB Coder II - Claim Edits

Grady Health System

Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you.

Job Summary

The Coder II is responsible for coding and abstracting procedural (CPT) and diagnosis codes (ICD-10) for physician services, reviewing physician documentation in the electronic medical record for completeness and accuracy to ensure proper code assignment, providing physician feedback of discrepancies/trends, resolving edits and denials, and releasing encounters for billing. Utilizes intermediate problem-solving skills to address coding related tasks of detailed, medium complexity. Duties include procedural (CPT) and diagnosis (ICD-10) coding for all places of service, including, but not limited to ER, observation, inpatient, outpatient, ambulatory surgery, and other ancillary services. Responsible for reviewing, analyzing, and interpreting physician documentation, CPT and diagnosis coding, charge entry, coding claim edit, and coding denial management for coding related tasks.

Responsibilities

• Review Clinical Documentation
• Assign Appropriate Medical Codes
• Ensure Compliance
• Resolve Coding Edits & Denials
• Quality Assurance & Productivity
• Collaboration & Communication
• Administrative & Support Tasks

Qualifications:

2+ years relevant coding and abstracting experience in an acute care hospital. Experience with Epic, 3M CAC and HDM systems.

Education:

Highschool Diploma Or GED

Certification:

Certified Professional Coder (CPC) or CCS-P, CCS-H, RHIA, RHIT, or equivalent coding certification

Core Competencies:

These competencies reflect the values and behaviors expected of all Grady team members, regardless of role. They ensure that every employee contributes to safe, high-quality care, positive patient experience, and a collaborative work environment.

1. Patient-Centered Care Demonstrates a commitment to delivering safe, compassionate, and high-quality care that prioritizes the well-being and satisfaction of patients and their families.

2. Integrity & Accountability Acts ethically, maintains confidentiality, and accepts responsibility for actions, decisions, and outcomes.

3. Collaboration & Teamwork Builds positive relationships, works effectively across departments, and supports colleagues to achieve shared goals.

4. Communication Communicates clearly, respectfully, and effectively with patients, families, colleagues, and leadership.

5. Respect & Inclusion Creates an inclusive environment by valuing diversity, treating others with dignity, and ensuring equitable care and opportunities for all.

6. Quality & Safety Adheres to best practices, regulatory standards, and policies to ensure safe, reliable, and high-quality outcomes.

7. Adaptability & Resilience Responds effectively to change, remains flexible in dynamic situations, and demonstrates resilience under pressure.

8. Continuous Improvement Seeks opportunities to improve processes, skills, and outcomes through innovation, learning, and feedback.

9. Leadership & Professionalism Inspires, guides, and develops individuals and teams while modeling professionalism, fairness, and transparency.

10. Employee Experience Focus Champions a supportive and engaging employee journey that enables staff to thrive and, in turn, deliver exceptional patient care.

Grady Total Rewards

At Grady, we believe in supporting the health, well-being, and growth of every team member. Our Total Rewards package is designed to provide competitive pay and comprehensive benefits that make a difference in your life and career, including:

• Health & Wellness: Medical, dental, vision, and prescription drug coverage.
• Financial Security: Retirement savings plans with employer contributions, life insurance, and disability coverage.
• Work-Life Balance: Paid time off, holidays, and family leave benefits.
• Career Growth: Tuition reimbursement, professional development programs, and opportunities for advancement.
• Employee Support: Employee Assistance Program (EAP), wellness initiatives, and discounts on services.

Grady's Total Rewards are designed to ensure our employees feel valued, supported, and empowered, both at work and beyond.

Why Join Grady?

Grady Health System is more than a hospital we are a vital part of Atlanta and the surrounding communities. For over 125 years, Grady has been committed to providing exceptional care, advancing health equity, and making a difference in the lives of those we serve. When you join Grady, you become part of a team that values excellence, compassion, innovation, and collaboration.

Here, every role matters. Whether you provide direct patient care, support our operations, or lead teams, you play an important part in fulfilling our mission. We offer opportunities to learn, grow, and build a meaningful career in an environment where your contributions are recognized and valued.

At Grady, we don't just work, we make an impact.

Equal Opportunity Employer Statement:

Grady Health System is proud to be an equal opportunity employer. We are committed to fostering a workforce where all employees feel valued, respected, and empowered to succeed. We prohibit discrimination and harassment of any kind based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected characteristic.

Grady is dedicated to creating an accessible work environment and provides reasonable accommodations to qualified individuals with disabilities to ensure equitable opportunities for success.