Certified Coder

Summa Health; Cleveland (OH); Hybrid; USD 32,000 - 37,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Life insurance

Paid time off

401(k)

Job summary

Summa Health Medical Group in Akron, OH is seeking a Coding Review and Billing Specialist to manage coding reviews, data entry, and denial reprocessing. You will ensure accurate CPT/ICD coding and post charges in accordance with regulations, supporting care coordination in a multi-specialty setting.

Qualifications include a high school diploma, formal medical coding training, and current coding certification (CCA/CCS/CCS-P/CMC/CPC) with RHIT acceptable after pass.

Qualifications

• High school diploma or equivalent.
• Completion of a formal medical coding training program.
• Current coding certification (CCA/CCS/CCS-P/CPC acceptable).
• RHIT acceptable with passing certification test within 90 days of hire.

Responsibilities

• Code review, billing data entry and denial reprocessing.
• Reconcile services provided and ensure regulatory compliance.
• Support care coordination using Patient-Centered Medical Home methods.
• Communicate effectively with providers and screen EMR data.

Skills

Verbal communication

Written communication

Epic software

Attention to detail

Analytical thinking

MS Excel

MS Word

Multitasking

Education

High school diploma

Medical coding training

Coding certification

RHIT acceptable (after test)

Tools

Epic EMR

Job description

Summa Health Medical Group

Akron, OH 44304

Full-Time Days / Benefits Eligible

Will work remote after on-site training and orientation

Summa Health System is recognized as one of the region’s top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits.

Summary

Responsible for all aspects of coding review, billing data entry, reprocessing of coding denials (including follow-up and coding denial queues), reconciling services provided at the hospital, and maintaining regulations requirements. Uses coding knowledge to make sure that the appropriate code was used given the support of the charge to be posted. Ensures that work is done accurately, timely, and in compliance with federal, state, and payer specific regulations. Supports the coordination of care through Patient-Centered Medical Home methodologies, as applicable.

Formal Education Required

• High school diploma or equivalent
• Completion of a formal medical coding training program
• Current coding certification required. CCA, CCS or CCS-P, CMC, CPC are acceptable.
• RHIT acceptable with the passing of a coding certification test within 90 days of hire.

Experience & Training Required

• Previous coding experience, including assigning of ICD-10 and CPT codes in a multi-specialty group setting, preferred

Other Skills, Competencies And Qualifications

• Ability to communicate verbally and in writing with providers
• Knowledge of electronic medical record contents and ability to screen for pertinent data, user knowledge Epic software a plus.
• Ability to prioritize work
• Attention to detail and analytical problem solving
• Ability to maintain the confidentiality of patient medical records
• Assumes accountability for demonstrating behaviors consistent with the customer service policy
• Ability to operate a PC
• Ability to be flexible and handle many tasks at one time, knowledge of Excel and Word.

Population Specific Competency

• Ability to effectively interact with patients/customers with the understanding of their needs for self-respect and dignity

Level Of Physical Demands

• Sedentary: Exerts up to ten pounds of force occasionally and/or a negligible amount of force frequently

Equal Opportunity Employer/Veterans/Disabled

$22.61/hr - $27.14/hr

The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical.

Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits.

• Basic Life and Accidental Death & Dismemberment (AD&D)
• Supplemental Life and AD&D
• Dependent Life Insurance
• Short-Term and Long-Term Disability
• Accident Insurance, Hospital Indemnity, and Critical Illness
• Retirement Savings Plan
• Flexible Spending Accounts - Healthcare and Dependent Care
• Employee Assistance Program (EAP)
• Identity Theft Protection
• Pet Insurance
• Education Assistance
• Daily Pay