Why work for Nebraska Methodist Health System
At Nebraska Methodist Health System we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care a culture that has and will continue to set us apart. Its helping families grow by making each delivery special conveying a difficult diagnosis with a compassionate touch going above and beyond for a patients needs or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay excellent benefits and a great work environment where all employees are valued! Most importantly our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:

Responsibilities:

Essential Functions

Codes professional charges and/or hospital services to ensure accurate billing by reviewing doctor dictation and assigning CPT and ICD10 CM codes.

Ensures timely submission of claims to insurance companies by performing job functions #1 by maintaining Accounts Receivable within 3 5 days of discharge on all outpatient encounters. Maintains a minimum productivity standard of:

• Codes 30 Radiology/OP Diagnostic services encounters per hour.
• Codes 25 Nonpatient Pathology Encounters per hour.
• Codes 15 Recurring encounters per hour.
• Codes 15 Emergency Department encounters per hour.
• Codes 12 Professional Services encounters per hour.
• Codes 10 GI Lab and Pain Management encounters per hour.

Assigns appropriate E/M Current Procedural Terminology (CPT) code into the coding abstract following CPT coding and 1995/1997 E/M guidelines on Clinic encounters Professional inpatient initial and subsequent hospital visits or ED encounters.

Reviews hospital billing charges with physicians to ensure accuracy by checking charges and services answering questions and advising on any insurance billing updates.

Investigates claim denials from third party payers to ensure accuracy by reviewing services patient received and patient account and making any coding/charging corrections.

Reviews Medicare and Commercial correspondence for updates by checking for billing and coding changes. Updates coding manual when necessary.

Schedule:

Mon Fri; flexible 8 hour shifts between business hours

Job Description:

Job Requirements

Education

• High School Diploma or General Educational Development (G.E.D) required
• College level completion of courses in anatomy and physiology biology disease process and medical terminology required.
• Associates Degree in Health Information Management or healthcare related degree preferred.
• Participates in mandatory inservices and continuing education as mandated by policies and procedures external agencies and as directed by supervisor.

Experience

• Prior healthcare registration customer service insurance or billing experience preferred.

License/Certifications

• Certification as Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) or Certified Coding Associate (CCA) or Certified Coding SpecialistPhysicianbased (CCSP) or registration as Registered Health Information Tech (RHIT) required.

Skills/Knowledge/Abilities

• N/A

Physical Requirements

Weight Demands

• Light Work Exerting up to 20 pounds of force.

Physical Activity

• Not necessary for the position 0:
  • Climbing
  • Crawling
  • Kneeling
• Occasionally Performed 133:
  • Balancing
  • Carrying
  • Crouching
  • Distinguish colors
  • Lifting
  • Pulling/Pushing
  • Standing
  • Stooping/bending
  • Twisting
  • Walking
• Frequently Performed 3466:
  • Grasping
  • Reaching
  • Repetitive Motions
  • Sitting
  • Speaking/talking
• Constantly Performed 67100:
  • Hearing
  • Keyboarding/typing
  • Seeing/Visual

Job Hazards

• Not Related:
  • Chemical agents (Toxic Corrosive Flammable Latex)
  • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
  • Physical hazards (noise temperature lighting wet floors outdoors sharps) (more than ordinary office environment)
  • Equipment/Machinery/Tools
  • Explosives (pressurized gas)
  • Electrical Shock/Static
  • Radiation Alpha Beta and Gamma (particles such as Xray Cat Scan Gamma Knife etc)
  • Radiation NonIonizing (Ultraviolet visible light infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
  • Mechanical moving parts/vibrations

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa more than 30 clinic locations a nursing and allied health college and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891 service to our communities has been a top priority. Financial assistance health education outreach to our diverse communities and populations and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race color religion sex age national origin disability veteran status sexual orientation gender identity or any other classification protected by Federal state or local law.