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Clinical Surgical Coder General Surgery experience preferred

Methodist Health System Omaha, NE

Job Description

  • Purpose of Job
    • Codes clinic charges.
  • Job Requirements
    • Education
      • College level completion of course in Anatomy & physiology, biology, disease process and medical terminology required.
      • Health Information Management (HIM) or other related health care degree with a minimum of Certified Professional Coder (CPC) or Certified Professional Coder-Hospital (CPC-H). icd-10 certified required.
      • OR
      • Candidate in the process of actively pursuing education and credentials. (Will require a 2 year commitment to the Health System if ICD-10 certification or credentials are obtained through the Health System.)

    • Experience
      • 3 years previous experience coding physician services from documentation, surgical and Evaluation/Management (E/M) required.

    • License/Certifications
      • Certified Professional Coder (CPC) or Certified Professional Coder-Hospital (CPC-H) required.

    • Skills/Knowledge/Abilities
      • Must be able to demonstrate a comprehensive understanding of Current Procedural Terminology codes (CPT), Healthcare Common Procedure Coding System (HCPCs) and ICD-9 coding.
      • Score of 80% or better must be obtained on test of above areas.
  • Physical Requirements
    • Weight Demands
      • Sedentary Work - Exerting up to 10 pounds of force. Sitting most of the time. Walking and Standing are required only occasionally.

    • Physical Activity
      • Occasionally Performed (1%-33%):
        • Balancing
        • Climbing
        • Carrying
        • Crawling
        • Crouching
        • Kneeling
        • Lifting
        • Pulling/Pushing
        • Walking
      • Frequently Performed (34%-66%):
        • Reaching
        • Standing
        • Stooping/bending
        • Twisting
      • Constantly Performed (67%-100%):
        • Distinguish colors
        • Fingering/Touching
        • Grasping
        • Hearing
        • Keyboarding/typing
        • Repetitive Motions
        • Seeing/Visual
        • Sitting
        • Speaking/talking

    • Job Hazards
      • Not Related:
        • Chemical agents (Toxic, Corrosive, Flammable, Latex)
        • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) Blood or Body Fluid (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 X-ray, Cat Scan, Gamma Knife, etc)
        • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
      • Note: Safety Officer can assist with identification of job hazards
  • Essential Job Functions
    • Essential Functions I

      • Codes clinic charges and/or hospital services to ensure accurate billing by reviewing doctor dictation and assigning CPT and ICD-9 codes.
        • Accurately code billing 98% of the time.
        • Hospital coding staff maintains productivity within 5 days of discharge.
        • Office coding staff maintains no more than 2 days worth of charges at work station at any given time.
        • Semi-annual audit performed on submitted work.

      • 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 98% of the time.
        • Per provider request.
        • Per departmental audit standards.

      • Assists patients and third party payers to facilitate customer service by answering questions/concerns regarding coding and billing.
        • 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.

      • 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.

      • Reviews Medicare and Commercial correspondence for updates by checking for billing and coding changes. Updates coding manual when necessary.
        • As updates are released from CMS.
        • As updates are released by major carriers.

      • Prepares delinquent provider reports for supervisor by maintaining daily productivity sheets, ensuring documentation is completed with charge ticket submission and codes using appropriate CDM codes as defined by Delinquent Provider Policy.
        • As defined by Administrator of Support Services.

      • Provides appropriate care specific to the age of the patient to ensure understanding and comfort level of treatment as outlined in the Age Specific Criteria.

    • Essential Functions II

      • Participates in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management.

      • Follows and understands the mission, vision, core values, Employee Standards of Behavior and company policies/procedures.

      • Other duties as assigned.

Job Details

Date Posted September 7, 2017
Date Closes November 6, 2017
Requisition 6666
Located In Omaha, NE
Work At Physicians Clinic Inc
Department Coders
Hours 730 - 300 hours per week
SOC Category 00-0000.00