Nebraska Methodist Health System
Location: Methodist Corporate Office
Address: 825 S 169th St. - Omaha, NE
Work Schedule: Mon - Fri, full-time, flexible 8-hour daytime shifts
Overview Be among the first 25 applicants. Nebraska Methodist Health System focuses on providing exceptional care and a culture called The Meaning of Care. We offer competitive pay, excellent benefits, and a great work environment where all employees are valued.
Responsibilities
Codes professional charges for surgical procedures for inpatient and outpatient services, including correct CPT, ICD-10-CM, and modifiers in accordance with medical policies and guidelines.
Assigns ICD-10-CM diagnosis, CPT procedure codes, and HCPCS device codes to outpatient records to ensure maximum reimbursement, utilizing ICD-10-CM and CPT principles and UHDDS definitions.
Enter codes into the code summary to maintain disease and operation index and allow timely submission of claims by assigning correct diagnosis and procedure codes and the reason for the encounter per department procedure.
Review CPT and HCPCS codes in the code summary and charge viewer to ensure accounts reflect appropriate charges, attaching modifiers and adjusting charges as needed.
Review hospital billing charges with physicians to ensure accuracy and provide updates as required by insurance.
Investigate claim denials from third-party payers and make coding/charging corrections as needed.
Ensure timely submission of claims by maintaining accounts receivable within deadlines and meet departmental productivity standards (e.g., codes per hour for various encounter types).
Utilize charge viewer to maximize reimbursement and understand applicable edits and modifiers.
Qualifications
Education
High School Diploma or GED required.
College-level coursework 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 directed.
Experience
3+ years of coding physician services from documentation preferred; surgical and E/M experience required.
License/ Certifications
Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) or Registered Health Information Technician (RHIT) or certified Coding Associate (CCA) or CCS-P required.
Skills/Knowledge/Abilities
Attention to detail in reviewing medical records, diagnoses, and charges at the time of ICD-10-CM and CPT code assignment.
Understanding of outpatient prospective payment methodology and National Correct Coding Initiatives.
Proficiency with personal computers and Microsoft Office (Word, Excel, etc.).
Physical Requirements
Light work – Exerting up to 20 pounds of force.
Physical activities by category:
Occasionally (1-33%): Balancing, Carrying, Crouching, Distinguish colors, Lifting, Pulling/Pushing, Standing, Stooping/bending, Twisting, Walking
Frequently (34-66%): Grasping, Reaching, Repetitive motions, Sitting, Speaking/talking
Constantly (67-100%): Fingering/Touching, Hearing, Keyboarding/typing, Seeing/Visual
Job Details
• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Health Care Provider
• Industry: Hospitals and Health Care
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, a medical supply distributorship, and a central laundry facility. Since 1891, we have focused on service to our communities. 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, or gender identity as provided by law.
Referrals increase your chances of interviewing at Nebraska Methodist Health System. Get notified about new Certified Medical Coder jobs in Omaha, NE.
#J-18808-Ljbffr
Address: 825 S 169th St. - Omaha, NE
Work Schedule: Mon - Fri, full-time, flexible 8-hour daytime shifts
Overview Be among the first 25 applicants. Nebraska Methodist Health System focuses on providing exceptional care and a culture called The Meaning of Care. We offer competitive pay, excellent benefits, and a great work environment where all employees are valued.
Responsibilities
Codes professional charges for surgical procedures for inpatient and outpatient services, including correct CPT, ICD-10-CM, and modifiers in accordance with medical policies and guidelines.
Assigns ICD-10-CM diagnosis, CPT procedure codes, and HCPCS device codes to outpatient records to ensure maximum reimbursement, utilizing ICD-10-CM and CPT principles and UHDDS definitions.
Enter codes into the code summary to maintain disease and operation index and allow timely submission of claims by assigning correct diagnosis and procedure codes and the reason for the encounter per department procedure.
Review CPT and HCPCS codes in the code summary and charge viewer to ensure accounts reflect appropriate charges, attaching modifiers and adjusting charges as needed.
Review hospital billing charges with physicians to ensure accuracy and provide updates as required by insurance.
Investigate claim denials from third-party payers and make coding/charging corrections as needed.
Ensure timely submission of claims by maintaining accounts receivable within deadlines and meet departmental productivity standards (e.g., codes per hour for various encounter types).
Utilize charge viewer to maximize reimbursement and understand applicable edits and modifiers.
Qualifications
Education
High School Diploma or GED required.
College-level coursework 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 directed.
Experience
3+ years of coding physician services from documentation preferred; surgical and E/M experience required.
License/ Certifications
Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) or Registered Health Information Technician (RHIT) or certified Coding Associate (CCA) or CCS-P required.
Skills/Knowledge/Abilities
Attention to detail in reviewing medical records, diagnoses, and charges at the time of ICD-10-CM and CPT code assignment.
Understanding of outpatient prospective payment methodology and National Correct Coding Initiatives.
Proficiency with personal computers and Microsoft Office (Word, Excel, etc.).
Physical Requirements
Light work – Exerting up to 20 pounds of force.
Physical activities by category:
Occasionally (1-33%): Balancing, Carrying, Crouching, Distinguish colors, Lifting, Pulling/Pushing, Standing, Stooping/bending, Twisting, Walking
Frequently (34-66%): Grasping, Reaching, Repetitive motions, Sitting, Speaking/talking
Constantly (67-100%): Fingering/Touching, Hearing, Keyboarding/typing, Seeing/Visual
Job Details
• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Health Care Provider
• Industry: Hospitals and Health Care
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, a medical supply distributorship, and a central laundry facility. Since 1891, we have focused on service to our communities. 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, or gender identity as provided by law.
Referrals increase your chances of interviewing at Nebraska Methodist Health System. Get notified about new Certified Medical Coder jobs in Omaha, NE.
#J-18808-Ljbffr