Professional Fee Coder II - Obgyn

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.

As a Professional Fee Coder II, you will monitor, review, and apply correct coding principles to clinical information received from ambulatory areas for reimbursement, research and compliance. We do have a diverse portfolio in our coding stream, from basic OBGYN services to complex Maternal Fetal Medicine, Urogynecology and Gyno-Oncology cases. You will identify and apply diagnosis codes; cot codes and modifiers as appropriately supported and ensure that billing discrepancies are met and corrected.

The ideal future caregiver is someone who:

• Has at least two years of coding experience, preferably in OBGYN.

• Demonstrates strong critical thinking and analytical skills.

• Effectively works under pressure.

• Excels in a remote work environment.

By taking this opportunity, you will work with an empathetic and supportive team that has created a positive and flexible culture. You will work 100% remotely with flexible hours.

At Cleveland Clinic, we know what matters most. That's why we treat our caregivers as if they are our own family, and we are always creating ways to be there for you. Here, you'll find that we offer: resources to learn and grow, a fulfilling career for everyone, and comprehensive benefits that invest in your health, your physical and mental well-being and your future. When you join Cleveland Clinic, you'll be part of a supportive caregiver family that will be united in shared values and purpose to fulfill our promise of being the best place to receive care and the best place to work in healthcare.

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. Work accounts 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.

• Reviews the Medication Administration Report (MAR) in the medical record for medications Hydration, Infusions, and Injections (HII) charged during observation time. Know the resources for the HII hierarchy.

• 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.

• Existing CCF employees credentialed with CMC may be required to obtain CPC (or CCS-P, RHIT, or CCA) within 12 months.

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.

• Internal 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.

Pay Range

Minimum hourly: $18.88

Maximum hourly: $28.80

The pay range displayed on this job posting reflects the anticipated range for new hires. While the pay range is displayed as an hourly rate, Cleveland Clinic recruiters will clarify whether the compensation is hourly or salary. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value of Cleveland Clinic's benefits package, which includes among other benefits, healthcare/dental/vision and retirement.