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, and HCPCS device codes as necessary to outpatient records to support maximum reimbursement.
- Enter diagnosis and procedure codes into the code summary for timely claim submission to insurance companies.
- Review CPT and HCPCS codes in the code summary and charge viewer to ensure appropriate charges for services and devices provided.
- Review hospital billing charges with physicians and advise on insurance billing updates.
- Investigate claim denials from third-party payers and make coding or charging corrections as needed.
- Maintain accounts receivable within 3 days of discharge on all outpatient encounters.
- Meet productivity standards across multiple encounter types.
- Use charge viewer to make appropriate changes to support maximum reimbursement.
Requirements & Qualifications
Education
- High school diploma or GED required.
- 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 degree preferred.
Experience
- 3+ years of prior experience coding physician services from documentation preferred.
- Surgical and Evaluation/Management (E/M) coding experience required.
Certifications
- One of the following required:
- Certified Professional Coder (CPC)
- Certified Outpatient Coder (COC)
- Registered Health Information Technician (RHIT)
- Certified Coding Associate (CCA)
- Certified Coding Specialist-Physician-based (CCS-P)
Skills
- Strong attention to detail when reviewing medical records, diagnoses, and charges.
- Understanding of outpatient prospective payment methodology.
- Knowledge of National Correct Coding Initiative (NCCI) guidelines.
- Proficiency with personal computers and Microsoft Office applications, including Word and Excel.
Benefits & Perks
Benefits
- Competitive pay
- Excellent benefits
- Great work environment
Location
Omaha, Nebraska, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 week ago
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