Job Information
Omaha Children's Hospital Certified Coding Specialist /FT, Mon - Fri, 8:00 am- 4:30 pm in Des Moines, Iowa
Schedule: FT, Mon - Fri, 8:00 am- 4:30 pm
At Children’s, the region’s only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team—and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities.
A Brief Overview
Performs a variety of tasks related to coding professional services including abstraction and assigning valid CPT, ICD10, and HCPCS codes, and/or coding verification and review to ensure coding accuracy and appropriate reimbursement in accordance with federal, state, and private health payers policies.
Essential Functions
Review and verify assigned codes and sequences diagnosis and procedures according to regulations (e.g., ICD10CM, CPT, HCPCS, UHDDS, and HIPPA coding guidelines) and/or abstract accurate clinical information to assign the most specific code possible to ensure an accurate health information database. •Contact physicians for clarification of clinical information as appropriate for account type as necessary. •Process encounters in coding work queue in a timely manner. •Register patients, verify insurance and enter charges into the practice management system as needed. •Maintain up-to-date knowledge of coding and regulatory requirements to accurately assign codes for appropriate reimbursement of healthcare services. Continue to strive to meet continuing education requirements for certification or to maintain working knowledge of on-going changes to CPT, HCPCS, and ICD 10 codes. •Utilize web-based tools, coding books, and other approved available resources to facilitate providing insurance companies with required information. •Utilize multiple information systems to accurately select the correct patient account in order to appropriately review and verify patient billable charges. •Participate in and assist with audits to capture lost charges and determine the accuracy of billing as necessary.
Identifies and communicates trends and educational opportunities to ensure proper documentation, coding, and accuracy of billing •Trends identified from documentation and denials. •Provide input timely responses to coding related questions from the denials team. •Identify charge related edits that can be built in the practice management system to reduced denials.
Respond to inquiries from provider offices and various internal departments in a timely and accurate professional manner. •Demonstrate and support good relations between Children’s Hospital, the contracted providers, and the community. •Make inquires to other stakeholders on the accuracy of the information, as needed. Follow- up on pending requests when necessary
Regular attendance at work is an essential function of the job.
Perform physical requirements as described in the Physical Requirements section
Education Qualifications
- High School Diploma or GED Required
Experience Qualifications
- Minimum total 2 years of experience in an insurance environment, HIM, a hospital billing or physician billing setting required and preferably 2 years of coding experience in one of these settings. Required
Skills and Abilities
Knowledge of medical terminology.
Knowledge of billing CPT and ICD coding required
Ability to type 40 words per minute with 99% accuracy.
Ability to pay attention to detail.
Ability to provide a pleasant and welcoming appearance to all with which you come in contact.
Ability to read, write, type, and follow oral and written directions.
Ability to work independently to effectively and efficiently perform assigned duties.
Licenses and Certifications
- CPC (Certified Coding Professional), CPC-A, CIC (Certified Inpatient Coder) or CCA (Certified Coding Associate), certification Required
Children’s is the very best for kids and the very best for your career! At Children’s, we put YOU first so together, we can improve the life of every child!
IND123
Requisition ID : 21921