Professional Fee Coder I

2 weeks ago

Cleveland, United States Cleveland Clinic Full time

Monitors, reviews and applies correct coding principles to clinical information received from ambulatory areas for the purpose of reimbursement, research and compliance. Identifies and applies diagnosis codes, cot codes and modifiers as appropriately supported by the medical record in accordance with federal regulations. Ensures that billing discrepancies are held and corrected.

Responsibilities:

  • Compares and reconciles daily patient schedules, census, and registration to billing and medical records documentation for accurate charge submission, which includes processing of professional charges, facility charges, manual data entry.

  • Maintains records for reconciliation and charge follow up.

  • Meets coding deadlines to expedite the billing process and to facilitate data availability for CCF providers to ensure appropriate continuity of care.

  • Investigates and resolves charge errors.

  • Maintains proficiency in related CCF billing systems and productivity standards.

  • Utilizes ICD#9, ICD#10 and CPT-4 coding systems and materials.

  • Other duties as assigned.

Education:

  • High school diploma or equivalent. Specific training related to CPT procedural coding and ICD#9, ICD#10 diagnostic coding through continuing education programs/seminars and/or community college.

  • Working knowledge of human anatomy and physiology, disease processes and demonstrated knowledge of medical terminology.

  • Candidate must successfully obtain coding certification ( CPC,CCS-P, RHIT or CCA) within one year from date of hire.

Certifications:

  • Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS-P), Registered Health Information Technologist (RHIT), Certified Coding Associate (CCA) preferred.

Complexity of Work:

  • Coding assessment relevant to the work may be required.

  • Requires critical thinking and analytical skills, decisive judgment and work with minimal supervision.

  • Applicant must be able to work under pressure to meet imposed deadlines and take appropriate actions.

Work Experience:

  • This position is for an entry level non-certified professional with a minimum of one year related experience in health care environment or medical setting or a new graduate from an accredited program (CPC,CCS-P).*In order to move forward, trainee must have successfully obtained their coding certification ( CPC,CCS-P, RHIT, CCA) RHIT, CCA).

Physical Requirements:

  • Typical physical demands involve prolonged sitting and/or traveling through various locations in the hospital and dexterity to accurately operate a data entry/PC keyboard.

  • Manual dexterity required to locate and lift medical charts.

  • Ability to work under stress and to meet imposed deadlines.

Personal Protective Equipment:

  • Follows Standard Precautions using personal protective equipment as required for procedures.

Pay Range

Minimum hourly: $17.25

Maximum hourly: $26.31

The pay range displayed on this job posting reflects the anticipated range for new hires. While the pay range is displayed as an hourly rate, Cleveland Clinic recruiters will clarify whether the compensation is hourly or salary. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value of Cleveland Clinic's benefits package, which includes among other benefits, healthcare/dental/vision and retirement.

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities

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