Certified Coder

Boys Town • Omaha, NE

1d • Onsite

About The Position

Responsible for the accurate and timely review, analysis, and assignment of ICD-10-CM, CPT, and HCPCS codes for outpatient and clinic services in accordance with official coding guidelines, payer requirements, and Boys Town policies. This role involves reading and interpreting medical record documentation, analyzing health records to identify relevant diagnoses, procedures, supplies, and modifier requirements, and applying knowledge of coding guidelines to assign correct codes. The coder will also clarify conflicting information with physicians, utilize internal and external resources for accuracy, prioritize caseload, review claim edits, conduct coding audits, resolve coding and reimbursement issues, and provide back-up to the Hospital Coding team as needed. The position requires adherence to the Standards of Ethical Coding and official coding guidelines.

Requirements

• High school diploma or equivalent required.
• Certified Professional Coder certification (CPC or CPC-A) required.
• Apply thorough knowledge of ICD-10-CM and HCPCS/CPT coding theory with sustained accuracy of 95% or greater.
• Consistently maintain acceptable productivity metrics set for the Professional Coding team.
• Knowledge of E&M coding guidelines for both clinic/outpatient and inpatient services.
• Apply a thorough knowledge of medical terminology, disease process, and anatomy and physiology.
• Communicate clearly and concisely both orally and in writing with all staff, physicians, and patients.
• Ability to function independently, with minimal supervision, as well as part of a team.
• Type 30 wpm with at least 90% accuracy.
• Make rapid and accurate arithmetic calculations.
• Maintain current and accurate records.
• Treat information in patient records with strict confidentiality.
• Strong attention to detail and critical thinking skills.

Nice To Haves

• Minimum of one year of recent applicable experience in coding with ICD-10-CM, and HCPCS/CPT preferred.
• Extensive knowledge of medical terminology, disease process and anatomy and physiology preferred.
• Experience working in Electronic Medical Record (EMR) preferred.
• Working knowledge of 1500 vs. UB04 billing preferred.

Responsibilities

• Accurate and timely review, analysis, and assignment of ICD-10-CM, CPT, and HCPCS codes for outpatient and clinic services.
• Read and interpret medical record documentation to translate diagnostic and procedural phrases into appropriate coding form.
• Analyze health records to identify relevant diagnoses, procedures, supplies, and modifier requirements.
• Apply knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines to assign correct codes and sequence them correctly.
• Clarify conflicting or ambiguous information by consulting with physicians or clinicians.
• Utilize internal and external resource and reference systems to ensure accuracy and current coding selections.
• Prioritize caseload based on date of receipt and charge source, adhering to timely filing requirements.
• Review individual encounter level system-generated claim edits to correct or complete missing data elements.
• Conduct focused coding/encounter audits and provide findings and suggested action plans to Coding Leadership.
• Resolve coding and reimbursement issues with Patient Financial Services staff and third-party payers.
• Provide back-up to the Hospital Coding team as needed to meet KPIs and metrics.
• Abide by the Standards of Ethical Coding and adhere to official coding guidelines and organizational compliance.
• Perform other duties as assigned by a supervisor to meet the needs of the organization.

Benefits

• Reduced to no cost visits for services performed by a Boys Town provider at a Boys Town location for employees and their dependents enrolled in medical benefits.
• Low to zero-dollar co-pays on certain maintenance drugs.
• No cost mental health visits to an in-network provider.
• Generous match on their 401K or 401K Roth account.
• Tuition reimbursement.
• Parenting resources from experts.
• Professional development opportunities within the organization.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED