Hospital Surgical Coder
Methodist Health System Omaha, NE
Purpose of Job
Occasionally Performed (1%-33%):
Frequently Performed (34%-66%):
Constantly Performed (67%-100%):
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)
Explosives (pressurized gas)
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)
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.
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.
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.
| Date Posted
October 21, 2018
| Date Closes
December 20, 2018
| Located In
| Work At
NE Methodist Health System Inc
8am - 4:30pm hours per week
| SOC Category
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