Certified Coder

Overview

Why work for Nebraska Methodist Health System? At Nebraska 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 sets 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. Our employees are part of a team that makes a real difference in the communities we live and work in.

Location: Methodist Corporate Office

Address: 825 S 169th St.

- Omaha, NE

Work Schedule: Mon - Fri, flexible 8-hour shifts between 7:00am and 7:00pm

Essential Functions

• Review CPT procedure codes and CPT charge codes to ensure all accounts reflect appropriate charges by reviewing Correct Coding Initiative (CCI) edits, attaching modifiers, and adding or modifying charges to the account.
• Code professional charges and/or hospital services by reviewing doctor dictation and assigning CPT and ICD-10-CM codes.
• Ensure timely submission of claims to insurance companies by performing job functions and maintaining accounts receivable within 3–5 days of discharge on all outpatient encounters. Maintain 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 CPT code into the coding abstract following CPT coding and 1995/1997 E/M guidelines for 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 insurance billing updates.
• Investigates claim denials from third-party payers to ensure accuracy by reviewing services rendered and patient accounts, making coding/charging corrections as needed.
• Reviews Medicare and Commercial correspondence for updates by checking for billing and coding changes and updates coding manuals when necessary.

Work Schedule: Mon - Fri, flexible 8-hour shifts between 7:00am and 7:00pm

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

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

• 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.

• N/A

• Light work – Exerting up to 20 pounds of force.

• 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

• Not Related:
  Chemical agents, Biological agents (with patient contact), Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps), Equipment/Machinery/Tools, Explosives (pressurized gas), Electrical Shock/Static, Radiation (alpha, beta and gamma), Radiation Non-Ionizing (UV, visible light, infrared, microwaves)

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. Since 1891, service to our communities has been a top priority. Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.