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Professional Fee Coder JIC - External Only Job

Date: Nov 16, 2014

Location: Cleveland, OH

Facility: Northeast Ohio

Professional Area: Community Experience , Finance/IT

Department: FINANCE

Job Code: U99930

Pay Grade: 11

Schedule: Full Time

Shift: Day/Evening/Night/Weekend


Job Details:
- High School Diploma or equivalent Required.
- 3 years experience required

This position is posted as a JIC (Job Interest Community). You are submitting your application for all Professional Fee Coder III opportunities that may be open at any location, for any shift within the Cleveland Clinic System. Once you apply, we will personally review your application to ensure that you meet the minimum qualifications and have completed the entire application. At that time, you may be contacted to discuss your experience, shift, and location preferences. This way, we can be sure that the job you apply for is the perfect fit for you.

EXTERNAL APPLICANTS ONLY

Professional Fee Coder I

JOB SUMMARY: Monitors, reviews and applies correct coding principles to clinical information received from ambulatory areas for the purpose of reimbursement, research and compliance. Identifies and applies diagnosis codes, CPT codes and modifiers as appropriately supported by the medical record in accordance with federal regulations. Ensures that billing discrepancies are held and corrected.

Job 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. Maintain records to be used for reconciliation and charge follow up. Meet coding deadlines to expedite the billing process and to facilitate data availability for CCF providers to ensure appropriate continuity of care. Investigates and resolves charge errors. Maintain proficiency in related CCF billing systems. Maintain productivity standards. Utilize ICD#9, ICD#10 and CPT-4 coding systems and materials.

Other duties as assigned.

Experience: This position is for an entry level non-certified professional with a minimum of one year related experience in health care environment or medical setting or a new graduate from an accredited program

(CPC,CCS-P, RHIT, CCA).

Education: High school diploma or equivalent. Specific training related to CPT procedural coding and ICD#9, ICD#10 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. Candidate must successfully obtain coding certification ( CPC,CCS-P, RHIT or CCA) within one year from date of hire.

Certification/Registration: CPC, CCS-P, RHIT, CCA, ( AHIMA).

Complexity of Work: Requires critical thinking and analytical skills, decisive judgment and work with minimal supervision. Applicant must be able to work under pressure to meet imposed deadlines and take appropriate actions.

Professional Fee Coder II

Job Summary: Monitors, reviews and applies correct coding principles to clinical information received from ambulatory areas for the purpose of reimbursement, research and compliance. Identifies and applies diagnosis codes, cpt codesand modifiers as appropriately supported by the medical record in accordance with federal regulations.Ensures that billing discrepancies are held and corrected.

Job 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. Maintain records to be used for reconciliation and charge follow up. Investigates and resolves charge errors. Meet coding deadlines to expedite the billing process and to facilitate data availability for CCF providers to ensure appropriate continuity of care. May be responsible for working held claims and claim edits in the CCF claims processing system. Maintain proficiency in related CCF billing systems. Utilize ICD#9, ICD#10 and CPT-4 coding systems and materials. Maintain productivity standards. Maintains current knowledge and skills through reading and utilizing coding resources. Attends and participates in coding education systems. Other duties as assigned.

Experience: Candidate must be credentialed (CPC,CCS-P, RHIT or CCA). Existing CCF employees credentialed with CMC may be required to obtain CPC (or CCS-P, RHIT, or CCA) within 12 months. Minimum of two years of coding experience in a health care environment and or medical office setting required. Candidate must currently be employed as a Pro Coder I at the Cleveland Clinic or have met all the training. Quality and productivity benchmarks of Pro Coder I for six months to apply for a PRO coder II position.

Education: High school diploma or equivalent. Specific training related to CPC procedural coding and ICD9, ICD10 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.

Licensure/Certification/Registration: CPC,CCS-P, RHIT, RHIA, or CCA (AHIMA)

Complexity of work: Requires critical thinking and analytical skills, decisive judgment and work with minimal supervision. Applicant must be able to work under pressure to meet imposed deadlines and take appropriate actions.

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Job Segments:
Administrative , Non-Clinical , Finance/Information Systems-j2w , communityexperience-j2w , Medical , Healthcare , Entry Level , Data Entry , Research , Physiology , Medical Coding , Technology , Information Systems , Insurance , Claims