Professional Coder II

Cleveland Clinic Cleveland , OH 44114

Posted 2 months ago

Job Details While these positions offer the opportunity to work from home, we will only consider Ohio residents at this time. This position is posted as an Evergreen. You are submitting your application for a Professional Fee Coder II position with our Pro Coding Operations area. Areas of business that we support are the following: Medicine, Pediatrics, Head & Neck, Digestive Disease Surgery, Endocrinology and Metabolism, Dermatology and Plastic Surgery, Ortho and Rheumatology, Urology and Kidney, Regional Operations, Anesthesia, Center for Connected Care, Surgical Operations, Imaging, Respiratory and Cancer.

Responsibilities:

  • 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. Investigates and resolves charge errors.

  • Meets coding deadlines to expedite the billing process and to facilitate data availability for CCF providers to ensure appropriate continuity of care.

  • Works held claims and claim edits in the CCF claims processing system.

  • Maintains proficiency in related CCF billing systems, productivity standards, and records to be used for reconciliation and charge follow up. Utilize ICD#9, ICD#10 and CPT-4 coding systems and materials.

  • Maintains current knowledge and skills through reading and utilizing coding resources. Attends and participates in coding education systems.

  • Other duties as assigned.

Education:

  • High School Diploma / GED or equivalent required.

  • Specific training related to CPC procedural coding and ICD9, ICD10 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.

Certifications:

  • Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS-P), Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Associate (CCA) by American Health Information Management Certification (AHIMA) or Certified Outpatient Coder (COC) by American Academy of Professional Coders is required and must be maintained.

Complexity of Work:

  • Coding assessment relevant to the work may be required.

  • 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.

Work Experience:

  • Minimum of 2 years of coding experience in a health care environment and or medical office setting required.

  • Candidate must currently be employed as a Professional Fee Coder I at the Cleveland Clinic or have met all the training, quality and productivity benchmarks of Professional Fee Coder I for six months to apply for a Professional Fee Coder II position.

Physical Requirements:

  • 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:

  • Follows Standard Precautions using personal protective equipment as required for procedures.

#LI-MH1

Keywords: HIM, Health Information, Health Information Management Coder, Medical Coder, Coding Clinical Coder, ICD-10, ICD-9, RHIA, RHIT, CCS, CCS-P, CPC, CCA

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Professional Coder II

Cleveland Clinic