Certified Coder

Overview

Why work for Nebraska Methodist Health System?

At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge.

We offer competitive pay, excellent benefits and a great work environment where all employees are valued. Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary

Location:

Methodist Corporate Office

Address: 825 S 169th St.

- Omaha, NE

Work Schedule:

Mon - Fri, daytime business hours

Essential Functions

Codes professional charges and/or hospital services to ensure accurate billing by reviewing doctor dictation and assigning CPT and ICD-10-CM codes.

Ensures Timely Submission Of Claims To Insurance Companies By Performing Job Functions #1 By Maintaining Accounts Receivable Within 3 - 5 Days Of Discharge On All Outpatient Encounters. Maintains a Minimum Productivity Standard Of

• Codes 30 Radiology/OP Diagnostic services encounters per hour.
• Codes 25 Non-patient Pathology Encounters per hour.
• Codes 15 Recurring encounters per hour.
• Codes 15 Emergency Department encounters per hour.
• Codes 12 Professional Services encounters per hour.
• Codes 10 GI Lab and Pain Management encounters per hour.

Assigns appropriate E/M Current Procedural Terminology (CPT) code into the coding abstract following CPT coding and 1995/1997 E/M guidelines on Clinic encounters, Professional inpatient initial and subsequent hospital visits, or ED encounters.

Reviews hospital billing charges with physicians to ensure accuracy by checking charges and services, answering questions and advising on any insurance billing updates.

Investigates claim denials from third party payers to ensure accuracy by reviewing services patient received and patient account and making any coding/charging corrections.

Reviews Medicare and Commercial correspondence for updates by checking for billing and coding changes. Updates coding manual when necessary.

Schedule

Mon - Fri, daytime business hours

Education

• High School Diploma or General Educational Development (G.E.D) required
• College level completion of courses in anatomy and physiology, biology, disease process, and medical terminology required.
• Associate's Degree in Health Information Management or healthcare related degree preferred.
• Participates in mandatory in-services and continuing education as mandated by policies and procedures, external agencies, and as directed by supervisor.

Experience

• Prior healthcare registration, customer service, insurance or billing experience preferred.

License/Certifications

• Certification as Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) or Certified Coding Associate (CCA) or Certified Coding Specialist-Physician-based (CCS-P) or registration as Registered Health Information Tech (RHIT) required.

Skills/Knowledge/Abilities

• N/A

Physical Requirements

Weight Demands

• Light Work - Exerting up to 20 pounds of force.

Physical Activity

• Not necessary for the position (0%):
• Climbing
• Crawling
• Kneeling
• Occasionally Performed (1%-33%):
• Balancing
• Carrying
• Crouching
• Distinguish colors
• Lifting
• Pulling/Pushing
• Standing
• Stooping/bending
• Twisting
• Walking
• Frequently Performed (34%-66%):
• Grasping
• Reaching
• Repetitive Motions
• Sitting
• Speaking/talking
• Constantly Performed (67%-100%):
• Hearing
• Keyboarding/typing
• Seeing/Visual

Job Hazards

• Not Related:
• Chemical agents (Toxic, Corrosive, Flammable, Latex)
• Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
• Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
• Equipment/Machinery/Tools
• Explosives (pressurized gas)
• Electrical Shock/Static
• Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
• Radiation Non-Ionizing…