PROFESSIONAL FEE CODER
HR Use Only:
Professional Fee Coder I-DDI/Colorectal Surgery
Cleveland Clinic Main Campus & Family Health Centers
CLEVELAND CLINIC FOUNDATION (MAIN CAMPUS)
8am - 5pm
: Audits daily patient reports to billing and medical record documentation for accuracy. Reviews diagnosis codes, CPT codes, and modifiers for completeness, and ensures that billing discrepancies are correct. Audits diagnostic statements in order to determine proper codes according to official coding guidelines.
Job Responsibilities: Compares and reconciles daily patient schedules/census/registrations to billing and medical record documentation for accurate charge submission. Performs quantitative review for completeness (diagnosis codes/CPT codes/modifiers) and ensures that billing system discrepancies are corrected. Investigates and resolves charging errors by utilizing a variety of audit and edit reports. Maintains records to be used for reconciliation and productivity reporting. Other duties as assigned.
Education: Associates Degree in HIM with RHIT certification may substitute for work experience.
Licensure/Certification/Registration: CPC, CPC-A, RHIT, CCSP, CPC-S, or must obtain one of the indicated certifications within one year of employment.
Experience: Minimum one year of related experience in a health care environment or medical office setting. Some of the required experience may be substituted with one of the following coding credentials (CPC, CMC, CCS-P).