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Hospital Surgical Coder

Methodist Health System Omaha, NE

Job Description

  • Purpose of Job
    • Responsible for Reimbursement Coding.
  • Job Requirements
    • Education
      • Requires college level completion of courses including anatomy and physiology, biology, disease process, and medical terminology with knowledge of ICD-10-CM and Current Procedural Terminology (CPT).
      • Requires a minimum of an Associate's Degree in health Information Management or related healthcare degree within 6 months of hire.
      • Participates in mandatory in-services and continuing education programs as mandated by policies and procedures/external agencies, and as directed by supervisor.

    • Experience
      • 3 or more years of coding experience preferred.

    • License/Certifications
      • Must be Registered Health Information Technologist (RHIT) eligible within 6 months of hire.
      • Certified Coding Specialist (CCS) may be considered.

    • Skills/Knowledge/Abilities
      • Ability to note detail when reviewing the medical record, verifying the diagnosis and reviewing charges at the time of ICD-10-CM and Current Procedural Terminology (CPT) 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
      • Occasionally Performed (1%-33%):
        • Balancing
        • Climbing
        • Carrying
        • Crawling
        • Crouching
        • Distinguish colors
        • Kneeling
        • Lifting
        • Pulling/Pushing
        • Reaching
        • Standing
        • Stooping/bending
        • Twisting
        • Walking
      • Frequently Performed (34%-66%):
        • Hearing
        • Repetitive Motions
        • Seeing/Visual
        • Speaking/talking
      • Constantly Performed (67%-100%):
        • Fingering/Touching
        • Grasping
        • Keyboarding/typing
        • Sitting

    • Job Hazards
      • Not Related:
        • 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 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)
      • Rare (1-33%):
        • Chemical agents (Toxic, Corrosive, Flammable, Latex)
        • Mechanical moving parts/vibrations
  • Essential Job Functions
    • Essential Functions I

      • Assigns ICD-10-CM 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 ICD-10-CM 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 98%.

      • Enters ICD-10-CM 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 99%.

      • 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.

      • Ensures timely submission of claims to insurance companies by performing job functions #1 and #2 by maintaining Accounts Receivable within 3 days of discharge on all outpatient encounters.
        • Codes 7-8 OPS records per hour.
        • Codes 5 OBS records per hour.
        • Codes 12 Infusion Center records per hour.
        • Codes 10-15 GI/Pain Management records per hour.
        • Codes 30-35 Radiology/OP Diagnostic services records per hour.
        • Codes 15-20 Recurring records per hour.

      • Ensures appropriate charges are added to specific encounters to align with procedures performed and procedures that are billable through the batch charge entry application.

      • Communicates with both the clinical department and charge services to aid in proper code assignment.

      • Utilizes and understand how to view and make appropriate changes in charge viewer to ensure maximum reimbursement.

    • 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 October 21, 2018
Date Closes December 20, 2018
Requisition 9792
Located In Omaha, NE
Work At NE Methodist Health System Inc
Department Clinical Coding
Shift Daytime
Hours 8am - 4:30pm hours per week
SOC Category 00-0000.00

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