Senior Professional Inpatient Coding Specialist (Fully Remote)

Benefits

• Health insurance
• Opportunities for advancement
• Vision insurance

Join Cleveland Clinic and experience a dynamic environment where you can make a difference as part of a collaborative and supportive team. This remote position offers opportunities for advancement in leadership roles or progression to other operational areas. As a Senior Coding Specialist you will be responsible for timely and accurate 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%. This role is responsible for covering multiple specialties and special projects as assigned.

The ideal caregiver is someone who:

• Has coding credentials and certification (RHIA, RHIT, CCS, CCS-P, CPC).

• Has a desire to learn and grow in a dynamic and challenging environment.

• Enjoys working as part of a team.

• Takes pride in their work and wants to make a difference.

Coding is a rapidly changing profession that requires constant learning, and demand for education continues to grow. This position allows for advancement into leadership roles or could provide opportunities for lateral moves to new operational areas. 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.