Certified Coder I
Methodist Health System Omaha, NE
Purpose of Job
Not necessary for the position (0%):
Occasionally Performed (1%-33%):
Frequently Performed (34%-66%):
Constantly Performed (67%-100%):
Chemical agents (Toxic, Corrosive, Flammable, Latex)
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)
Mechanical moving parts/vibrations
Essential Job Functions
Essential Functions I
Codes professional charges and/or hospital services to ensure accurate billing by reviewing doctor dictation and assigning CPT and ICD-10- CM codes.
Ensures timely submission of claims to insurance companies by performing job functions #1 by maintaining Accounts Receivable within 3 - 5 days of discharge on all outpatient encounters. Maintains a minimum productivity standard of:
Codes 30 Radiology/OP Diagnostic services encounters per hour.
Codes 25 Non-patient Pathology Encounters per hour.
Codes 15 Recurring encounters per hour.
Codes 15 Emergency Department encounters per hour.
Codes 12 Professional Services encounters per hour.
Codes 10 GI Lab and Pain Management encounters per hour.
Assigns appropriate E/M Current Procedural Terminology (CPT) code into the coding abstract following CPT coding and 1995/1997 E/M guidelines on Clinic encounters, Professional inpatient initial and subsequent hospital visits, or ED encounters.
Reviews hospital billing charges with physicians to ensure accuracy by checking charges and services, answering questions and advising on any insurance billing updates.
Investigates claim denials from third party payers to ensure accuracy by reviewing services patient received and patient account and making any coding/charging corrections.
Reviews Medicare and Commercial correspondence for updates by checking for billing and coding changes. Updates coding manual when necessary.
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
February 14, 2020
| Date Closes
April 14, 2020
| Located In
| SOC Category