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Professional Fee Coder III (Fully Remote)

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locations

Remote Location

time type

Full time

posted on

Posted 7 Days Ago

job requisition id

223591

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

Job Title

Professional Fee Coder III (Fully Remote)

Location

Cleveland

Facility

Remote Location

Department

Coding ReimbursementChief Of Staff Division

Job Code

U99930

Shift

Days

Schedule

8:00am4:30pm

Job Summary

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patientfirst healthcare. Cleveland Clinic is recognized as the No. 4 hospital in the nation, according to the U.S. News & World Report. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.

This position will be supporting our Anesthesia Coding Team. As a Professional Fee Coder III, your primary duties include, but are not limited to:

• Monitoring, reviewing, and applying correct coding principles to clinical information received from ambulatory areas for the purpose of reimbursement, research and compliance.
• Identifying and applying diagnosis codes, cot codes, and modifiers as appropriately supported by the medical record in accordance with federal guidelines.
• Ensuring that billing discrepancies are held and corrected.

The ideal ,caregiver is someone who:

• Is familiar with the 2021 coding guideline changes.
• Has at least 3 years of coding experience.
• Is familiar with ICD 10 DX coding, E/M Leveling, and Specialty Coding.
• Is technologically proficient.
• Demonstrates a strong work ethic.

This is an excellent opportunity for someone who seeks to enhance their coding skills while working remotely.

At Cleveland Clinic, we know what matters most. That is why we treat our caregivers as if they are our own family, and we are always creating ways to be there for you. Here, you will find that we offer: resources to learn and grow, a fulfilling career for everyone, and comprehensive benefits that invest in your health, your physical and mental wellbeing, and your future. When you join Cleveland Clinic, you will be part of a supportive caregiver family that will be united in shared values and purpose to fulfill our promise of being the best place to receive care and the best place to work in healthcare roles.

Job Details

Responsibilities:

• Compares and reconciles daily patient schedules/census/registration to billing and medical records documentation for accurate charge submission, which includes (but not limited to) processing of professional charges, facility charges, manual data entry.
• Maintains records to be used for reconciliation and charge follow up.
• Investigates and resolves charge errors.
• Meets coding deadlines to expedite the billing process and to facilitate data availability for CCF providers to ensure appropriate continuity of care.
• Responsible for working professional held claims in CCF claims processing system.
• Reviews, abstracts and processes services from surgical operative report.
• Reviews, communicates and processes physician attestation forms.
• Communicates with physician and other CCF departments (cosurgery) to resolve documentation discrepancies.
• Assists with Evaluation and Management (E&M) audits and other reimbursement reviews.
• Responsible for working E&M denials on the denial database.
• Other duties as assigned.

Education:

• High School Diploma / GED or equivalent required.
• Specific training related to CPT procedural coding and ICD9 CM diagnostic coding through continuing education programs/ seminars and/or community college.
• Working knowledge of human anatomy and physiology, disease processes and demonstrated knowledge of medical terminology.

Certifications:

• Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCSP), Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Associate (CCA) by American Health Information Management Certification (AHIMA) or Certified Outpatient Coder (COC) by American Academy of Professional Coders is required and must be maintained.

Complexity of Work:

• Coding assessment relevant to the work may be required.
• Requires critical thinking and analytical skills, decisive judgment and work with minimal supervision.
• Requires excellent communication skills to be able to converse with the clinical staff.
• Applicant must be able to work under pressure to meet imposed deadlines and take appropriate actions.

Work Experience:

• Minimum of 3 years coding to include 1 year of complex coding experience in a health care environment and or medical office setting required.
• Must demonstrate and maintain accuracy and proficiency in coding and claims editing to be considered for a Professional Coder III position.
• Candidate must currently be employed as a Professional Coder II at the Cleveland Clinic or have met all the training, quality and productivity benchmarks of a Professional Coder II.

Physical Requirements:

• Typical physical demands involve prolonged sitting and/or traveling through various locations in the hospital and dexterity to accurately operate a data entry/PC keyboard.
• Manual dexterity required to locate and lift medical charts.
• Ability to work under stress and to meet imposed deadlines.

Personal Protective Equipment:

• Follows Standard Precautions using personal protective equipment as required for procedures.

Keywords: HIM, Health Information, Health Information Management Coder, Medical Coder, Coding Clinical Coder, ICD10, ICD9, RHIA, RHIT, CCS, CCSP, CPC, CCA

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic Health System’s Smoking Policy will be permitted to reapply for open positions after 90 days.

Cleveland Clinic Health System administers an influenza prevention program as well as a COVID19 vaccine program. You will be required to comply with both programs, which will include obtaining an influenza vaccination on an annual basis, and being fully vaccinated against COVID19, or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.

Please review the Equal Employment Opportunity poster.

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Iniduals with Disabilities