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Coder III-Inpatient

Company: Cleveland Clinic
Location: Stuart
Posted on: November 12, 2021

Job Description:

areas for the purpose of reimbursement, research and compliance. Identifies and applies diagnosis codes, cot codes and modifiers as appropriately supported by the medical record in accordance with federal regulations. Ensures that billing discrepancies are held and corrected.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 (co-surgery) 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 or equivalent.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 Outpatient Coder (COC) Certified Coding Specialist Physician (CCS-P),Registered Health Information Technologist (RHIT), Certified Coding Associate (CCA) byAmerican Health Information Management Certification (AHIMA).Competencies (Complexity of Work):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 takeWork Experience:Minimum of 3 years coding to include 1 year of complex coding experience in a health carePhysical 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: Cleveland Clinic, Palm Beach , Coder III-Inpatient, Other , Stuart, Florida

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