Certified Coder I

Nebraska Methodist Health System; Omaha (NE); On-site; USD 40,000 - 60,000; Full time

Job summary

Nebraska Methodist Health System is hiring for a healthcare coding/billing role at the Methodist Corporate Office in Omaha. The position focuses on reviewing CPT/ICD-10-CM codes, charge accuracy, and timely submission to insurers in a high-volume setting.

Applicants should have a high school diploma or GED and coursework in anatomy/physiology, biology, disease processes, and medical terminology, with an associate degree in health information management preferred.

Qualifications

• High School Diploma or GED required.
• Anatomy/physiology, biology, disease process, medical terminology coursework required.
• Associate's Degree in Health Information Management or related field preferred.
• Mandatory in-services and continuing education as directed.

Responsibilities

• Codes professional charges and hospital services to ensure accurate billing by reviewing dictation and assigning CPT and ICD-10-CM codes.
• Review and adjust charges; review CPA edits and modifiers to ensure correct charges.
• Investigate claim denials and update coding accordingly.
• Review Medicare and commercial correspondence for billing/coding changes.

Education

Associate degree preferred

Job description

Why work for Nebraska Methodist Health System?

At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary

Location: Methodist Corporate Office

Address: 825 S 169th St. - Omaha, NE

Work Schedule: Full time, daytime business office hours

Reviews Current Procedural Terminology (CPT) procedure codes and CPT charge codes to ensure all accounts reflect appropriate charges for services provided by reviewing Correct Coding Initiative (CCI) edits, attaching modifiers and adding or modifying charges to the account.

Responsibilities

Essential Functions

• Codes professional charges and/or hospital services to ensure accurate billing by reviewing doctor dictation and assigning CPT and ICD-10- CM codes.
• Ensures Timely Submission Of Claims To Insurance Companies By Performing Job Functions #1 By Maintaining Accounts Receivable Within 3 - 5 Days Of Discharge On All Outpatient Encounters. Maintains a Minimum Productivity Standard Of
• Codes 30 Radiology/OP Diagnostic services encounters per hour.
• Codes 25 Non-patient Pathology Encounters per hour.
• Codes 15 Recurring encounters per hour.
• Codes 15 Emergency Department encounters per hour.
• Codes 12 Professional Services encounters per hour.
• Codes 10 GI Lab and Pain Management encounters per hour.

Assigns appropriate E/M Current Procedural Terminology (CPT) code into the coding abstract following CPT coding and 1995/1997 E/M guidelines on Clinic encounters, Professional inpatient initial and subsequent hospital visits, or ED encounters.

Reviews hospital billing charges with physicians to ensure accuracy by checking charges and services, answering questions and advising on any insurance billing updates.

Investigates claim denials from third party payers to ensure accuracy by reviewing services patient received and patient account and making any coding/charging corrections.

Reviews Medicare and Commercial correspondence for updates by checking for billing and coding changes. Updates coding manual when necessary.

Schedule

Full time, daytime business office hours

Job Requirements

Education

• High School Diploma or General Educational Development (G.E.D) required
• College level completion of courses in anatomy and physiology, biology, disease process, and medical terminology required.
• Associate's Degree in Health Information Management or healthcare related degree preferred.
• Participates in mandatory in-services and continuing education as mandated by policies and procedures, external agencies, and as directed by supervisor.

Experience

• Prior healthcare registration, customer service, insurance or billing experience preferred.

License/Certifications

• Certification as Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) or Certified Coding Associate (CCA) or Certified Coding Specialist-Physician-based (CCS-P) or registration as Registered Health Information Tech (RHIT) required.

Skills/Knowledge/Abilities

• N/A

Physical Requirements

Weight Demands

• Light Work - Exerting up to 20 pounds of force.

Physical Activity

Not necessary for the position (0%):

• Climbing
• Crawling
• Kneeling

Occasionally Performed (1%-33%):

• Balancing
• Carrying
• Crouching
• Distinguish colors
• Lifting
• Pulling/Pushing
• Standing
• Stooping/bending
• Twisting
• Walking

Frequently Performed (34%-66%):

• Grasping
• Reaching
• Repetitive Motions
• Sitting
• Speaking/talking

Constantly Performed (67%-100%):

• Hearing
• Keyboarding/typing
• Seeing/Visual

Job Hazards

Not Related:

• Chemical agents (Toxic, Corrosive, Flammable, Latex)
• Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
• Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
• Equipment/Machinery/Tools
• Explosives (pressurized gas)
• Electrical Shock/Static
• Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
• Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
• Mechanical moving parts/vibrations

About Methodist

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Aff…