Certified Surgical Coder
Certified Surgical Coder
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Job Description
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:
Location: Methodist Corporate OfficeAddress: 825 S 169th St. Omaha NE
Work Schedule: Mon Fri fulltime flexible 8hour daytime shifts
Codes professional charges for surgical procedures for inpatient and outpatient services including correct CPT ICD10CM and modifiers in accordance with medical policies and guidelines.
Responsibilities:
Essential Functions
Assigns ICD10CM diagnosis Current Procedural Terminology (CPT) procedure codes and Healthcare Common Procedure Coding System (HCPCS) device codes as necessary to outpatient records to ensure maximum reimbursement utilizing ICD10CM and Current Procedural Terminology (CPT) principles of code assignment and Uniforms Hospital Discharge Data Set (UHDDS) definitions of principle and secondary diagnosis.
- Accuracy rate of at least 95.
Enters ICD10CM diagnosis code(s) and Current Procedural Terminology (CPT) procedure code(s) into the code summary to maintain disease and operation index to allow for timely submission of claims to insurance companies by assigning correct diagnosis and procedure codes and the reason for the encounter per department procedure.
- Accuracy rate of at least 95.
Reviews Current Procedural Terminology (CPT) procedure codes and Healthcare Common Procedure Coding System (HCPCS) device codes in the code summary and charge viewer to ensure all accounts reflect appropriate charges for services and devices provided; by reviewing Correct Coding Initiative (CCI) edits attaching modifiers and adding or modifying charges to the account.
Reviews hospital billing charges with physicians to ensure accuracy by checking charges and services answering questions and advising on any insurance billing updates.
- Reviews coding with Physician 95 of the time.
- Per provider request.
- Per departmental audit standards.
Investigates claim denials from third party payers to ensure accuracy by reviewing services patient received and patient account and making any coding/charging corrections.
- Per department process regarding code reviews within 14 days of receipt.
- Per request from clinic personnel.
- Per request from Business Office and/or Customer Service Personnel.
Ensures timely submission of claims to insurance companies by performing job functions #1 by maintaining Accounts Receivable within 3 days of discharge on all outpatient encounters. Maintains a minimum productivity standard of:
- Codes 7 OPS encounters per hour.
- Codes 5 OBS encounters per hour.
- Codes 12 Infusion Center encounters per hour.
- Codes 10 GI/Pain Management encounters per hour.
- Codes 30 Radiology/OP Diagnostic services encounters per hour.
- Codes 15 Recurring encounters per hour.
- Codes 30 Radiology/OP Diagnostic services encounters per hour.
- Codes 25 Nonpatient Pathology Encounters per hour.
- Codes 15 Emergency Department encounters per hour.
- Codes 12 Professional Services encounters per hour.
Utilizes and understands how to view and make appropriate changes in charge viewer to ensure maximum reimbursement.
Schedule:
Mon Fri fulltime flexible 8hour daytime shifts
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
- 3 years previous experience coding physician services from documentation preferred surgical and Evaluation/Management (E/M) required.
License/Certifications
- Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) or Registered Health Information Tech (RHIT) or certified Coding Associate (CCA) or Certified Coding SpecialistPhysicianbased (CCSP) required.
Skills/Knowledge/Abilities
- Ability to note detail when reviewing the medical record verifying the diagnosis and reviewing charges at the time of ICD10CM and Current Procedural Terminology (C PT) code assignment.
- Understanding of outpatient prospective payment methodology and knowledge of the national correct coding initiatives.
- Skills necessary to operate a personal computer and Microsoft Office programs.
- Experience with personal computer and knowledge of Word Excel etc.
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:
- Fingering/Touching
- 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.
Employment Type
Full-Time
