Preferred qualifications - seeking candidates who have their CPC-A, CPC, CCSP, RHIA or RHIT or CCA certification. Please provide your member ID number for your certification when submitting your application.
Monitors, reviews and applies correct coding principles to clinical information received from ambulatory areas for the purpose of reimbursement, research and compliance. Identifies and applies diagnosis codes, cot codes and modifiers as appropriately supported by the medical record in accordance with federal regulations. Ensures that billing discrepancies are held and corrected.
Compares and reconciles daily patient schedules, census, and registration to billing and medical records documentation for accurate charge submission, which includes processing of professional charges, facility charges, manual data entry.
Maintains records for reconciliation and charge follow up.
Meets coding deadlines to expedite the billing process and to facilitate data availability for CCF providers to ensure appropriate continuity of care.
Investigates and resolves charge errors.
Maintains proficiency in related CCF billing systems and productivity standards.
Utilizes ICD#9, ICD#10 and CPT-4 coding systems and materials.
Other duties as assigned.
High school diploma or equivalent. Specific training related to CPT procedural coding and ICD#9, ICD#10 diagnostic coding through continuing education programs/seminars and/or community college.
Working knowledge of human anatomy and physiology, disease processes and demonstrated knowledge of medical terminology.
Candidate must successfully obtain coding certification ( CPC,CCS-P, RHIT or CCA) within one year from date of hire.
Complexity of Work:
Requires critical thinking and analytical skills, decisive judgment and work with minimal supervision.
Applicant must be able to work under pressure to meet imposed deadlines and take appropriate actions.
This position is for an entry level non-certified professional with a minimum of one year related experience in health care environment or medical setting or a new graduate from an accredited program (CPC,CCS-P, Candidate must complete the Cleveland Clinic Coding competency exam to be considered for the position.
In order to move forward, trainee must have successfully obtained their coding certification ( CPC,CCS-P, RHIT, CCA) RHIT, CCA).
Typical physical demands involve prolonged sitting and/or traveling through various locations in the hospital and dexterity to accurately operate a data entry/PC keyboard.
Manual dexterity required to locate and lift medical charts.
Ability to work under stress and to meet imposed deadlines.
Personal Protective Equipment:
The policy of Cleveland Clinic and its system hospitals (Cleveland Clinic) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic's Smoking Policy will be permitted to reapply for open positions after 90 days. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic facility.
Cleveland Clinic is pleased to be an equal employment employer: Women/Minorities/Veterans/Individuals with Disabilities