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.
Responsibilities
- Assign ICD-10-CM diagnosis, CPT procedure codes, and HCPCS device codes as needed for outpatient records to support maximum reimbursement.
- Enter diagnosis and procedure codes into the code summary to maintain disease and operation indices and support timely claim submission.
- Review CPT and HCPCS codes in the code summary and charge viewer to ensure appropriate charges for services and devices provided.
- Review billing charges with physicians to confirm accuracy, answer questions, and provide insurance billing updates.
- Investigate claim denials from third-party payers and make coding or charging corrections when needed.
- Maintain accounts receivable within 3 days of discharge for outpatient encounters.
- Meet productivity standards for a variety of encounter types, including outpatient surgery, observation, infusion, GI/pain management, radiology, pathology, emergency department, and professional services.
- Use the charge viewer to make appropriate changes and help ensure maximum reimbursement.
Requirements & Qualifications
Education
- High school diploma or GED required.
- College-level coursework in anatomy and physiology, biology, disease processes, and medical terminology required.
- Associate degree in Health Information Management or a healthcare-related field preferred.
Experience
- 3+ years of experience coding physician services from documentation preferred.
- Surgical and Evaluation/Management (E/M) coding experience required.
Certifications
- One of the following required: CPC, COC, RHIT, CCA, or CCS-P.
Skills
- Strong attention to detail when reviewing medical records, diagnoses, and charges.
- Knowledge of outpatient prospective payment methodology and National Correct Coding Initiative (NCCI) guidelines.
- Proficiency with Microsoft Office applications, including Word and Excel.
- Ability to work with a personal computer and maintain coding accuracy and productivity standards.
Benefits & Perks
Benefits
- Competitive pay
- Excellent benefits
- Great work environment
- Opportunity to make a meaningful impact in patient care and community health
Location
Omaha, Nebraska, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 weeks ago
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