Clinical Coder III - Department of Neurosurgery

Clinical Coder III - Department of Neurosurgery

Apply now Job no: 532862
Work type: Staff Full-Time
Location: Main Campus (Gainesville, FL)
Categories: Office/Administrative/Fiscal Support, Veteran's Preference Eligible, Health Care Administration/Support
Department:  - MD-NEUROLOGICAL SURGERY

Classification

Title:

Clinical Coder III

Job Description:

The Department of Neurosurgery is seeking an experienced surgical coder to perform highly specialized diagnosis and procedural coding for all operative procedures and inpatient consulting services performed by the faculty of the Department of Neurological Surgery including those performed in Gainesville and at Halifax Regional Medical Center.

The ideal candidate will have a thorough knowledge of anatomy, surgical and medical terminology coding, a working knowledge of the billing requirements of insurance carriers, and the operating procedures of the department and the hospital(s).

The Lillian S. Wells Department of Neurosurgery at the University of Florida, College of Medicine is committed to providing comprehensive clinical services for the diagnosis, management, treatment, and rehabilitation of patients suffering from diseases of the brain, spinal cord, and nervous system, including brain tumors, aneurysms, stroke, epilepsy, functional disorders, and spinal disorders and injuries. Our clinical care mission also extends throughout North Central Florida through regional neurosurgery programs.

We offer the full spectrum of neurosurgical and neuro-oncology treatment options for both adults and pediatric patients. Our research labs and investigator-led initiatives and clinical trials are developing promising new treatments for neurological diseases that are extremely difficult to treat with conventional therapies. The Department of Neurosurgery offers education and training programs such as ACGME-accredited neurosurgery residency programs and fellowship programs.

Performs highly specialized diagnosis and procedural coding for all operative procedures and inpatient consulting services performed by the faculty of the Department of Neurological Surgery including those performed in Gainesville and Halifax Regional Medical Center. Requires review of operative reports and/or progress notes to determine documentation of billable services and to either verify or to apply the appropriate ICD-10 andCPT codes. Confirms physician attestation statements are in place, when appropriate.

Provides guidance and education to attending surgeons, fellows and residents on all coding issues. As coding questions arise, incumbent is responsible for researching issues through all available resources including but not limited to professional associations, federal and private payer guidelines, and coding networks.

Meets with Department Chair or Administrator on a regular basis to review individual or product line coding issues.

Verifies patient demographic and health insurance data for accuracy and resolves any discrepancies.

Responsible for ensuring that there are no unsigned ormissing operative records. Enters charges for both surgical cases and non-surgical inpatient events.

Responsible for chart reviews for the purpose of regulatory and coding compliance and to ensure all services appropriate for coding and charging have been captured. Ensures proper documentation of teaching provider involvement.

Responsible for monitoring and correcting all TES edits in the Epic system. Sets up guarantor accounts in Epic by determining if charges are considered personal/family, auto, worker's comp, etc. Adds insurance information into Epic by determining what the relationship of the patient is to the subscriber, obtaining insurance policy numbers and claim address and…