Certified Coder

Job Title

Join our dynamic team at Ohio State University Physicians where excellence meets compassion.

Job Description

With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. As an employee of Ohio State University Physicians (OSUP), you'll be an integral part of a team committed to advancing healthcare, education, and professional growth.

At OSUP, we foster a culture grounded in the values of inclusion, empathy, sincerity, and determination. We meet our teams where they are, coming together to serve each other and our community.

We know that having options and robust benefit plans are important to you. OSUP prioritizes the wellbeing of our team and that's why we offer our employees a flexible, competitive benefit package. In addition to medical, dental, vision, health reimbursement accounts, flexible spending accounts, and retirement, we also offer an employee assistance program, paid time off, holidays, and a wellness program designed to support our employees so they can live their best lives. As an OSUP employee, you will be eligible for these various benefits depending on your employment status.

Responsibilities

1. Determines accurate CPT, HCPCS procedure and professional supply codes and ICD-10-CM diagnosis codes used for billing services provided by physicians and licensed non-physician providers.
2. Performs activities related to physician practice management and coding to maintain compliance with payer reimbursement policies and Federal health care program requirements.
3. Provides training and education on coding and compliance issues to physicians, non-physician providers and staff on an ongoing basis.
4. Interacts with patient care providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation as well as communication on coding and compliance issues.
5. Performs audits and analyses of payer denials; provides information on compliance issues arising from audits and formulates recommendations to providers regarding improved documentation practices to avoid future claims denials.
6. Researches inquiries from providers and patients about fees, reimbursements, and denials.
7. Monitors data sources to ensure receipt and analysis of all charges.
8. Updates encounter forms/super bills on an annual basis with respect to diagnostic, procedural and supply code changes.
9. Attendance, promptness, professionalism, the ability to pay attention to detail, cooperativeness with co-workers and supervisors, and politeness to customers, vendors, and patients.
10. Other duties or special projects as assigned.

Qualifications

• High School diploma or GED; Certification in CPC, CCS, CCS-P, RHIT; or specialty coding with one to three years' experience directly related to coding and reimbursement for physician services; or equivalent combination of education and experience.
• Knowledge of CPT, HCPCS procedure and professional supply codes and ICD-10-CM (or current version) diagnosis codes used for billing services provided by physicians and licensed non-physician providers.
• Knowledge of third party fee profiles and reimbursement requirements.
• Knowledge of current and developing issues and trends in medical coding procedures and requirements.
• Analytical ability to gather and interpret data and develop, recommends, and implement solutions.
• Ability to interact and communicate with individuals at all levels of the organization.

Preferences: Experience working with Electronic Medical Records and IDX.

Pay Range

USD $23.84 - USD $35.76 /Hr.