• Compares and reconciles daily patient schedules/census/registration to billing and medical records documentation for accurate charge submission, which includes (but not limited to) processing of professional charges, facility charges, manual data entry.
• Maintains records to be used for reconciliation and charge follow up.
• Investigates and resolves charge errors.
• Meets coding deadlines to expedite the billing process and to facilitate data availability for CCF providers to ensure appropriate continuity of care.
• Responsible for working professional held claims in CCF claims processing system.
• Reviews, abstracts and processes services from surgical operative report.
• Reviews, communicates and processes physician attestation forms.
• Communicates with physician and other CCF departments (co-surgery) to resolve documentation discrepancies.
• Assists with Evaluation and Management (E&M) audits and other reimbursement reviews.
• Responsible for working E&M denials on the denial database.
• Other duties as assigned.
   

• High School Diploma / GED or equivalent required.
• Specific training related to CPT procedural coding and ICD9 CM diagnostic coding through continuing education programs/ seminars and/or community college.
• Working knowledge of human anatomy and physiology, disease processes and demonstrated knowledge of medical terminology.
   

• Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS-P), Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Associate (CCA) by American Health Information Management Certification (AHIMA) or Certified Outpatient Coder (COC) by American Academy of Professional Coders is required and must be maintained.
   

• Coding assessment relevant to the work may be required.
• Requires critical thinking and analytical skills, decisive judgment and work with minimal supervision.
• Requires excellent communication skills to be able to converse with the clinical staff.
• Applicant must be able to work under pressure to meet imposed deadlines and take appropriate actions.
   

• Minimum of 3 years coding to include 1 year of complex coding experience in a health care environment and or medical office setting required.
• Must demonstrate and maintain accuracy and proficiency in coding and claims editing to be considered for a Professional Coder III position.
• Internal candidate must currently be employed as a Professional Coder II at the Cleveland Clinic or have met all the training, quality and productivity benchmarks of a Professional Coder II.
   

• Typical physical demands involve prolonged sitting and/or traveling through various locations in the hospital and dexterity to accurately operate a data entry/PC keyboard.
• Manual dexterity required to locate and lift medical charts.
• Ability to work under stress and to meet imposed deadlines.
   

• Follows Standard Precautions using personal protective equipment as required for procedures.
   

Pay Range

Minimum hourly: $20.77

Maximum hourly: $31.68

The pay range displayed on this job posting reflects the anticipated range for new hires. While the pay range is displayed as an hourly rate, Cleveland Clinic recruiters will clarify whether the compensation is hourly or salary. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education. This is not inclusive of the value of Cleveland Clinic's benefits package, which includes among other benefits, healthcare/dental/vision and retirement.

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