Senior Coding Specialist

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title Senior Coding Specialist Location Cleveland Facility Remote Location Department Professional Coding Services-Finance Job Code U99901 Shift Days Schedule 8:00am-4:30pm Job Summary Job Details Join 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 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 support the organization’s mission and vision by ensuring the timely and accurate coding of clinical data through the assignment of CPT, ICD-10, and HCPCS codes. In this role, you will comply with federal and state regulations, licensing requirements, and corporate policies and procedures, while maintaining an accuracy rate of 95% or higher. You will also be responsible for covering multiple specialties and participating in special projects as assigned. A caregiver in this role works remotely from 8:00 a.m. – 4:30 p.m. with flexible start times A caregiver who excels in this role will:

• Ensure correct coding of professional services and uphold compliance standards.
• Perform coding and related duties using established Professional Coding policies accurately and in a timely manner.
• Review medical documentation and assign CPT, ICD-10, HCPCS II codes, and modifiers based on documentation and payor requirements across all patient encounters and medical and surgical specialties.
• Adapt to frequent assignment changes to support the enterprise.
• Participate in special projects assigned to support enterprise initiatives.
• Provide mentoring and training for professional coding staff.
• Assist with resolution of coding edits in a timely manner and identify opportunities to reduce claim edits and enhance first-pass payment rates.
• Interact with providers and coding staff to resolve documentation or coding issues.
• Maintain current knowledge of coding principles and guidelines as conventions are updated; monitor and analyze industry trends and issues for potential organizational impact.
• Assist 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 on and participate in coding policy changes.
• Maintain required coding certifications and credentials.
• Meet cross-coverage and training competencies as required.

Minimum qualifications for the ideal future caregiver include:

• High School Diploma / GED or equivalent
• Four 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
• 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
• Coding assessment relevant to the work may be required
• ONE of the following 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)
• Adaptable for frequent changes in assignments

Preferred qualifications for the ideal future caregiver include:

• Associate’s degree
• Imaging coding experience/background

Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/ 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.

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our drug free environment. All offers of employment are followed by testing for controlled substances. Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. Please review the Equal Employment Opportunity poster. Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities Apply tot his job Apply To this Job