Professional Coding Senior Associate

Nebraska Medicine•Omaha, NE

2d•Onsite

About The Position

Review documentation for professional charges involving ancillary, E/M, and/or bedside/clinical procedures as well as surgery and/or anesthesia. Review accuracy of diagnosis and procedure codes within charge review, edit, error and/or follow up on work queues and folders within computer aided coding software. Correct diagnosis and procedure codes when necessary to ensure accurate clinical information and reimbursement for the organization. Utilize encoder, and/or computer aided coding software to analyze coding and coding edits to facilitate complete and compliant coding. Complete work queues in electronic health record and/or computer aided system to resolve CCI, OCE, LCD and NCD edits proactively to facilitate effective, efficient Revenue Cycle processes. Communicate with ambulatory areas of the organization to include providers, clinic mangers, and administrators to facilitate provider education and revenue integrity.

Requirements

High school education or equivalent required.
Complete accredited coursework for coding certificate with current credentialing as Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Professional Coder-Apprentice (CPC-A), or Certified Inpatient Coder (CIC) or completion of an American Health Information Management Association (AHIMA) accredited Health Information Management (HIM) program with current credentialing as an Registered Health Information Administrator (RHIA) OR Registered Health Information Technician (RHIT) required.
Minimum of two years post-secondary education with coursework in business, medical assistant program or nursing assistant program OR equivalent combination of education/experience in coding (one year of education equals one year of experience) required.

Nice To Haves

Experience coding in an acute care facility preferred.
Completion of an AHIMA accredited HIM Program with current credentialing as an RHIT, CPC or CCS preferred.
Knowledge of state and federal rules and regulations pertaining to healthcare coding preferred.

Responsibilities

Review documentation for professional charges involving ancillary, E/M, and/or bedside/clinical procedures as well as surgery and/or anesthesia.
Review accuracy of diagnosis and procedure codes within charge review, edit, error and/or follow up on work queues and folders within computer aided coding software.
Correct diagnosis and procedure codes when necessary to ensure accurate clinical information and reimbursement for the organization.
Utilize encoder, and/or computer aided coding software to analyze coding and coding edits to facilitate complete and compliant coding.
Complete work queues in electronic health record and/or computer aided system to resolve CCI, OCE, LCD and NCD edits proactively to facilitate effective, efficient Revenue Cycle processes.
Communicate with ambulatory areas of the organization to include providers, clinic mangers, and administrators to facilitate provider education and revenue integrity.