Kettering Health Network

Pro Fee Coding Specialist HIM - 1 Prestige Place- Full Time - Days

2 months ago
Job ID
2017-7965
Job Category
Administrative/Business Support
Job Type
Full-Time
Shift
First Shift
# of Openings
1
Shift Time
Days

Overview

Kettering Health Network is a not-for-profit network of eight hospitals, and over 120 outpatient facilities serving southwest Ohio. Patients have access to high quality maternity care, state-of-the-art cancer fighting technology, Ohio’s leading heart hospital, as well as revolutionary brain and spine surgery. With nearly 12,000 employees and 2,100 physicians, Kettering Health Network is committed to transforming the health-care experience with world class health services for every stage of life.

Responsibilities & Requirements

Responsibilities: 

  • Reviews, interprets and verifies evaluation and management (E&M) and other CPT-4 procedural codes according to the physician's documented office visit notes, orders, hospital notes and other pertinent physician documentation loaded in the medical record (CodeRyte CAC)
  • Utilizes CodeRyte CAC to accurately code diagnoses based on the physician's documented diagnosis
  • Identifies and codes global services and/or appropriate concurrent services according to coding guidelines, and applies correct modifiers
  • Corrects codes that have been assigned by physician practices to ensure data and codes are consistent w/ ICD-9-CM/ICD-10 CM Official Guidelines, CPT, CPT Assistant, and CMS 

Requirements:

  • One of the following coding certifications: Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS-P), Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Associate (CCA) through American Health Information Management Certification
  • Advanced knowledge and understanding of ICD-9 CM, ICD-9 CM Coding Guidelines, CPT, Evaluation and Management Coding and Documentation Guidelines as well as Pro Fee hospital procedure coding and billing
  • Has excellent customer service and communications skills and is able to develop and maintain effective work relationships with team members, staff, leaders and physicians
  • Experience with software applications including EPIC, and Microsoft Office (Word, Excel, Access, Power-Point, Outlook)

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