Vacancy expired!
This position seeking an experienced coder is a local remote position. Only residents of Ohio will be considered!Responsibilities:
Researches and resolves claim denials, pre-bill edits, and pre-bill errors.
Provides feedback to the coding management team and staff regarding denial type errors.
Applies LCD and NCD (local and national coverage determination) rules.
Develops and maintains outpatient reimbursement manuals to support quality coding on the Coding SharePoint site.
Assists with and/or provides suggestions for continuing education topics and issues for coding staff.
Educates groups and individuals within HIM regarding coding denials, modifier assignments, and the reimbursement process. When appropriate, assists in developing and maintaining CCHS facilities' coding guidelines in accordance with Official Coding Guidelines.
Acts as a liaison among all department managers, staff, physicians and administration with respect to denials issues.
Assists with the development of denial reports and other statistical reports.
Works with department supervisors, managers, and physician offices.
Supports coding program initiatives, promotes good morale and cooperation.
Encourages others and values their input.
Shares information and seeks ways to add value both to the customer and to the team.
Anticipates and responds to changing skills requirements.
Seeks opportunities to learn new skills.
Actively coaches and encourages team members to do the same.
Complies with CCHS and departmental policies and procedures consistently.
Other duties as assigned.
Education:
High School Diploma is required.
Certifications:
Depending on department needs the Certified Professional Coder (CPC) through the American Academy of Professional Coders (AAPC), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA) is required and must be maintained.
Complexity of Work:
Coding assessment relevant to the work may be required.
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
Must be able to work in a stressful environment and take appropriate action.
Work Experience:
A minimum of two years of experience in a clinical environment involving the accurate interpretation and coding/abstraction of therapeutic/diagnostic measures and procedures of a diverse patient population.
In-depth knowledge of ICD-10-CM coding principles, APC assignment, and modifier assignment.
Formal coursework in anatomy, physiology and medical terminology in order to accurately interpret the medical record.
Working knowledge of both personal computer applications and mainframe computer systems.
Excellent verbal and written communications.
Must be detail oriented and analytical in nature.
A Bachelor's Degree in Health Information Management may be substituted for up to one year of required experience.
Physical Requirements:
Physical demands require standing, walking, sitting, lifting, carrying up to 25 lbs.
Close, distant, and color vision is required.
Requires manual dexterity to grasp and handle records and to operate a PC computer in the course of work.
The work environment is at a moderate noise level (business office with phones, copiers, computers, and printers).
Personal Protective Equipment:
Follows standard precautions using personal protective equipment as required.
Pay RangeMinimum hourly: $27.65Maximum hourly: $42.17The 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
Full-time