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Form of workJoin the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.
As a Senior Coding Specialist, you will be responsible for the timely and accurately coding of clinical data through the assignment of CPT, ICD 10 and HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing Agencies and corporate policies and procedures while maintaining an accuracy rate at or above 95%. In addition, this position will cover multiple specialties and special projects (as assigned), coordinate surgical coders, track the WQs and train new caregivers.
The ideal future caregiver is someone who:
Has 3 years of surgical coding experience.
Has critical thinking and analytical skills.
Demonstrates a strong work ethic.
Works efficiently while ensuring accuracy.
This is an excellent opportunity for someone who is seeking a 100% remote work environment while enhancing their coding skills.We offer flexible scheduling with staggered start times.
At Cleveland Clinic, we know what matters most. That's why we treat our caregivers as if they are our own family, and we are always creating ways to be there for you. Here, you'll find that we offer: resources to learn and grow, a fulfilling career for everyone, and comprehensive benefits that invest in your health, your physical and mental well-being and your future. When you join Cleveland Clinic, you'll be part of a supportive caregiver family that will be united in shared values and purpose to fulfill our promise of being the best place to receive care and the best place to work in healthcare.
Job Responsibilities:
- The Senior Coding Specialist is responsible for correct coding of professional services and upholding compliance standards.
- Perform coding and related duties using established Professional Coding policies in an accurate and timely manner. Review medical documentation and assign CPT, ICD-10, HCPCS II and modifiers based on documentation and payor requirements on all patient encounters and all medical and surgical specialties.
- Frequent assignment changes to support the enterprise.
- Special projects as assigned to support the enterprise.
- Provides necessary mentoring and training for the professional coding staff.
- Assists with resolution of coding edits in a timely manner. Identify opportunities to reduce claim edits and enhance first pass payment rate.
- Interacts with Providers, and coding staff to resolve documentation or coding issues
- Maintains current knowledge of coding principles and guidelines as coding conventions are updated; monitors and analyzes current industry trends and issues for potential organizational impact.
- Assists in the development of programs and procedures to ensure a 95% or greater coding accuracy rate.
- Demonstrate a commitment to integrating coding compliance standards into daily coding practices. Identify, correct and report coding problems.
- Advise and participate in coding policy changes.
- Maintain required coding certification/credentials.
- Required to meet cross coverage and training competencies.
- Other duties as assigned.
Education:
- High School Diploma / GED or equivalent required.
- Associate's degree preferred.
- Specific training related to CPT procedural coding and ICD-10 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.
Certifications:
- At least one of the following preferred certifications are required: Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS, CCS-P), Registered Health Information Technologist (RHIT) or Registered Health Information Administrator (RHIA) from American Academy of Professional Coders (AAPC).
Complexity of Work:
- Coding assessment relevant to the work may be required.
- Requires thinking and analytical skills, decisive judgment and work with minimal supervision.
- Applicant must be able to work under pressure to meet imposed deadlines and take appropriate actions.
- Applicant must be adaptable for frequent changes in assignments
Work Experience:
- Minimum of 4 years of progressive on-the-job coding experience with ICD-10-CM and CPT coding in a health care environment and/or medical office setting.
Physical Requirements:
- Ability to perform work in a stationary position for extended periods.
- Ability to travel throughout the hospital system.
- Ability to work with physical records, such as retrieving and filing them.
- Ability to operate a computer and other office equipment.
- Ability to communicate and exchange accurate information.
- In some locations, ability to move up to 25 lbs.
Personal Protective Equipment:
- Follows Standard Precautions using personal protective equipment as required for procedures.
Pay Range
Minimum hourly: $22.85
Maximum hourly: $34.85
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.
