Reviews CPT procedure codes and CPT charge codes to ensure accounts reflect appropriate charges for services provided. Reviews CCI edits, attaches modifiers, and adds or modifies charges as needed.
Codes professional charges and hospital services by reviewing physician dictation and assigning CPT and ICD-10-CM codes.
Maintains timely claim submission by supporting accounts receivable goals and coding outpatient encounters within expected turnaround times.
Assigns appropriate E/M CPT codes following CPT and 1995/1997 E/M guidelines for clinic encounters, inpatient visits, and emergency department encounters.
Reviews hospital billing charges with physicians to ensure accuracy, answer questions, and advise on insurance billing updates.
Investigates claim denials from third-party payers and makes coding or charging corrections when needed.
Reviews Medicare and commercial correspondence for billing and coding updates and maintains the coding manual as necessary.
High school diploma or GED required.
Completion of college-level coursework in anatomy and physiology, biology, disease process, and medical terminology required.
Associate's degree in Health Information Management or a healthcare-related field preferred.
Prior healthcare registration, customer service, insurance, or billing experience preferred.
Certification or registration in one of the following is required:
- Certified Professional Coder (CPC)
- Certified Outpatient Coder (COC)
- Certified Coding Associate (CCA)
- Certified Coding Specialist-Physician-based (CCS-P)
- Registered Health Information Technician (RHIT)
Must participate in mandatory in-services and continuing education as required.
Knowledge of CPT, ICD-10-CM, E/M guidelines, CCI edits, and charge review processes is expected.
Competitive pay
Excellent benefits
Great work environment
Supportive team culture
Opportunity to make a meaningful difference in the community
Location
Omaha, Nebraska, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
4 weeks ago