Certified Coder

Looking to join our dynamic team at Ohio State University Physicians where excellence meets compassion

Who we are

With over 100 cutting-edge outpatient center locations dedicated to providing exceptional patient care while fostering a collaborative work environment our buckeye team includes more than 1800 nurses medical assistants physicians advanced practice providers administrative support staff IT specialists financial specialists and leaders that all play an important an employee of Ohio State University Physicians (OSUP) youll be an integral part of a team committed to advancing healthcare education and professional growth.

Our culture

At OSUP we foster a culture grounded in the values of inclusion empathy sincerity and determination. We meet our teams where they are coming together to serve each other and our community.

Our benefits

We know that having options and robust benefit plans are important to you. OSUP prioritizes the wellbeing of our team and thats why we offer our employees a flexible competitive benefit addition to medical dental vision health reimbursement accounts flexible spending accounts and retirement we also offer an employee assistance program paid time off holidays and a wellness program designed to support our employees so they can live their best lives. As an OSUP employee you will be eligible for these various benefits depending on your employment status.

• Determines accurate CPT HCPCS procedure and professional supply codes and ICD-10-CM diagnosis codes used for billing services provided by physicians and licensed non-physician providers.
• Performs activities related to physician practice management and coding to maintain compliance with payer reimbursement policies and Federal health care program requirements.
• Provides training and education on coding and compliance issues to physicians non-physician providers and staff on an ongoing basis.
• Interacts with patient care providers regarding billing and documentation policies procedures and regulations; obtains clarification of conflicting ambiguous or non-specific documentation as well as communication on coding and compliance issues.
• Performs audits and analyses of payer denials; provides information on compliance issues arising from audits and formulates recommendations to providers regarding improved documentation practices to avoid future claims denials.
• Researches inquiries from providers and patients about fees reimbursements and denials.
• Monitors data sources to ensure receipt and analysis of all charges.
• Updates encounter forms/super bills on an annual basis with respect to diagnostic procedural and supply code changes.
• Attendance promptness professionalism the ability to pay attention to detail cooperativeness with co-workers and supervisors and politeness to customers vendors and patients.
• Other duties or special projects as assigned.

• High School diploma or GED; Certification in CPC CCS CCS-P RHIT; or specialty coding with one to three years experience directly related to coding and reimbursement for physician services; or equivalent combination of education and experience.
• Knowledge of CPT HCPCS procedure and professional supply codes and ICD-10-CM (or current version) diagnosis codes used for billing services provided by physicians and licensed non-physician providers.
• Knowledge of third party fee profiles and reimbursement requirements.
• Knowledge of current and developing issues and trends in medical coding procedures and requirements.
• Analytical ability to gather and interpret data and develop recommends and implement solutions.
• Ability to interact and communicate with individuals at all levels of the organization.

Preferences: Experience working with Electronic Medical Records and IDX.