Coder/Billing Analyst, Revenue Cycle Operations

Summa Health; Cleveland (OH); On-site; USD 30,000 - 36,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Life insurance

Paid time off

Job summary

Summa Health is seeking a Coder / Billing Analyst to optimize revenue from off-site ED encounters by reviewing documentation and assigning ICD-10 diagnoses and CPT procedures.

You will perform charge entry, conduct billing audits, and educate staff on coding processes to improve accuracy and compliance. This role supports Summa's commitment to excellent patient service and high-quality financial operations.

Qualifications

• Formal Education Required: RHIT (or eligible) or CCS, COC or CPC with 60%+ on outpatient coding test.
• OR CCA with 1 year outpatient coding experience and related coursework.
• Two years outpatient coding experience including ED services.
• Experience with the billing process preferred.
• Ability to prioritize, review documentation, and maintain confidentiality.

Responsibilities

• Optimizes revenue from off-site ED by reviewing documentation and assigning codes.
• Code diagnoses (ICD-10) and procedures (CPT) for ED encounters.
• Provide feedback on missed charge opportunities based on documentation.
• Perform charge entry and billing audits; review processes and staff education.
• Assign outpatient procedural charges (e.g., Infusion/Injection) for observation encounters.
• Ensure coding quality and productivity within six months; work with team.

Skills

Prioritize workload

Review documentation

Confidentiality

Analytical skills

Team player

Computer literacy

Decision making

Education

RHIT/CCS/COC/CPC (60%+)

CCA + 1 year outpatient coding

Job description

Coder / Billing Analyst - Revenue Cycle Billing Operations

Full-Time Days

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

Optimizes revenue from off-site Emergency Departments (ED) by reviewing documentation to assign procedure codes and visit levels. Responsible for coding all diagnosis codes for the ED encounters. Provides feedback related to missed charge opportunities based on documentation. Performs charge entry, billing audits, reviews processes and staff education. Responsible for assigning outpatient procedural charges (ex. Infusion/Injection) for Summa’s Observation encounters. Assign codes (ICD-10) for diagnoses and procedures (CPT) on outpatient accounts based on chart documentation according to national coding guidelines, Summa policies and local review agencies.

Minimum Qualifications

• Formal Education Required:
• RHIT (or eligible) or CCS or COC or CPC with a 60% or better score on the pre-employment outpatient coding test
• OR
• CCA with one (1) year coding experience in an acute care setting with a 60% or better score on the outpatient coding test and completion of medical terminology and anatomy and physiology courses
• Experience and Training Required:
• Two (2) years of outpatient coding experience including coding Emergency Department services
• Experience with the billing process preferred
• Other Skills, Competencies and Qualifications:
• Ability to prioritize work
• Ability to review medical record documentation for pertinent diagnoses and procedures
• Ability to achieve and maintain coding quality and productivity standards within six months of employment
• Ability to work productively as part of a team
• Ability to maintain confidentiality of patient information and financial records
• Analytical and problem solving skills for claim correction and account resolution
• Ability to make good decisions and think independently
• Working knowledge of computers, calculators, and other equipment used in a professional setting
• Population Specific Competency: Ability to effectively interact with populations of patients/customers with an 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

$21.54/hr - $25.86/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