Certified Coder I

CO800 Methodist Physicians Clinic; United States; On-site; USD 42,000 - 64,000; Full time

Job summary

Nebraska Methodist Health System is seeking a skilled Medical Billing/Coding professional to review CPT and ICD-10-CM codes, ensure accurate charges, and maintain timely submissions. The role requires adherence to Correct Coding Initiative edits and hospital/clinic coding guidelines, with emphasis on accuracy and payer communications.

Responsibilities include auditing physician documentation, addressing denials, and staying updated on Medicare and commercial payer updates, while meeting

Qualifications

• Experience coding professional charges and hospital services.
• Familiarity with CPT/ICD-10-CM guidelines and E/M rules.
• Ability to review coding for accuracy and compliance.

Responsibilities

• Code professional charges and hospital services using CPT/ICD-10-CM codes.
• Ensure timely submission of claims to insurers, typically within 3–5 days of discharge.
• Maintain productivity standards across radiology, pathology, ED, and other service lines.
• Review charges with physicians and advise on billing updates and denials.
• Investigate denials and correct coding/charges to maximize reimbursement.

Skills

CPT coding

ICD-10-CM coding

Medical billing

CCI edits

Education

Associate's Degree in Health Information Management

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, Mon - Fri, flexible 8-hour shifts

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, Mon - Fri, flexible 8-hour shifts

Job Description

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.

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…?

Equal Opportunity Employer Statement

Nebraska Methodist Health System is an Aff…?

At Methodist Health System, we focus on providing exceptional care to the communities we serve and the 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. If you join our organization, you will have the opportunity to excel in your field, use the latest technologies, learn from the best and work as a team. You’ll have the opportunity to make a difference through The Meaning of Care.