Certified Surgical Coder

Certified Surgical Coder I – Nebraska Methodist Health System

Join to apply for the Certified Surgical Coder I role at Nebraska Methodist Health System
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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.

Location:

Methodist Corporate Office
Address: 825 S 169th St., Omaha, NE

Work Schedule:

Mon - Fri, flexible 8‑hour shifts, full time

Codes professional charges for surgical procedures for inpatient and outpatient services including correct CPT, ICD‑10‑CM, and modifiers in accordance with medical policies and guidelines.

Essential Functions:

• Assign ICD‑10‑CM diagnosis, CPT procedure codes, and HCPCS device codes to outpatient records to ensure maximum reimbursement, using ICD‑10‑CM and CPT principles and UHDDS definitions of principle and secondary diagnosis. Accuracy rate of at least 95%.
• Enter ICD‑10‑CM diagnosis code(s) and CPT procedure code(s) into the code summary for disease and operation index maintenance, ensuring timely claim submission. Accuracy rate of at least 95%.
• Review CPT and HCPCS codes in the code summary and charge viewer to ensure all accounts reflect appropriate charges, applying CCI edits, attaching modifiers, and modifying charges as needed.
• Review hospital billing charges with physicians to ensure accuracy, answer questions, and advise on insurance billing updates.
• Conduct coding reviews with physicians 95% of the time, per provider request, and per departmental audit standards.
• Investigate claim denials from third‑party payers to ensure accuracy, reviewing services and patient accounts, and making required coding/charging corrections per department process within 14 days of receipt, per request from clinic personnel or the Business Office/Customer Service.
• Maintain timely claim submission by keeping accounts receivable within 3 days of discharge on all outpatient encounters.
• Meet minimum productivity standards:
  • Codes 7 OPS encounters per hour.
  • Codes 5 OBS encounters per hour.
  • Codes 12 Infusion Center encounters per hour.
  • Codes 10 GI/Pain Management encounters per hour.
  • Codes 30 Radiology/OP Diagnostic services encounters per hour.
  • Codes 15 Recurring encounters per hour.
  • Codes 25 Non‑patient Pathology encounters per hour.
  • Codes 15 Emergency Department encounters per hour.
  • Codes 12 Professional Services encounters per hour.
• Utilize and understand the charge viewer to ensure maximum reimbursement.

Mon - Fri, flexible 8‑hour shifts, full time

• 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.

• 3+ years of previous experience coding physician services from documentation preferred; surgical and Evaluation/Management (E/M) required.

• Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) or Registered Health Information Technology (RHIT) or Certified Coding Associate (CCA) or Certified Coding Specialist – Physician‑Based (CCS‑P) required.

• Excellent detail orientation when reviewing the medical record, verifying the diagnosis, and reviewing charges at the time of ICD‑10‑CM and CPT code assignment.
• Understanding of…