Certified Coder - PCP Coding

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

Benefits offered by this job

Retirement Savings Plan

Daily Pay

Life Insurance

Job summary

Summa Health is seeking a Certified Coder for PCP coding to manage coding review, data entry, and denial reprocessing while ensuring regulatory compliance. You will support care coordination and maintain accurate coding tied to posted charges.

The role requires strong ICD-10/CPT coding skills, multi-specialty experience, and proficiency with Epic and EMR systems to ensure accurate physician claims.

Qualifications

• Experience assigning ICD-10 and CPT codes in a multi-specialty group setting preferred.
• Knowledge of EMR contents and data screening.

Responsibilities

• Review coding for accuracy and timely posting.

Skills

ICD-10 coding

CPT coding

Multi-specialty experience

Communication

Microsoft Excel

Word processing

Education

High School Diploma

Formal medical coding training

Coding certification (CCA/CCS/CCS-P/CMC/CPC)

RHIT eligible

Tools

Epic software

Job description

Certified Coder - PCP Coding (Job ID: 61020)

Employment Type: Full-Time Days

Remote: Will work remote after training/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

Compensation

$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.

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

Location

US:OH:Akron

1077 Gorge Blvd, Summit, Akron, OH, 44310, US