Professional Fee Coder II

Cleveland Clinic

United States, OH

Job posting number: #7087443 (Ref:16616400528)

Posted: October 20, 2021

Application Deadline: Open Until Filled

Job Description

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.

Coder experienced in any of the following specialties is strongly preferred: Pulmonary, Psychology, Allergy, E/M leveling/E/M 2021 guidelines, nutrition, Audiology, ENT,  Urology, Nephrology, Gastro, Colorectal, Dermatology, Plastics,  General Surgery.

This position will be remote, however only residents of Northeast Ohio will be considered.

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.
  • 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. 


By embracing and understanding the diversity EVERY ONE brings, Cleveland Clinic has created an inclusive culture that promotes innovation, growth, and new ideas. This has enhanced our ability to attract the best global talent to provide the best patient experience possible. Cleveland Clinic is pleased to be an equal employment/affirmative action employer: Women/Minorities/Veterans/Individuals with Disabilities. Smoke/drug free environment.


Apply Now

Please mention to the employer that you saw this ad on Sciencejobs.org

More Info

Job posting number:#7087443 (Ref:16616400528)
Application Deadline:Open Until Filled
Employer Location:Cleveland Clinic
Cleveland,Ohio
United States
More jobs from this employer
Institution Website