Certified Professional Coder/Surgical Specialty Services
Holy Cross

Employment Type:Full timeShift:Day Shift

Description:
Job Title:

General Summary:

The Certified Professional Coder Surgical Svcs reviews all assigned charge review errors and claim edits for hospital-based services, including surgical procedures. Ensuring correct charge capture and coding with proper ICD-10 codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes, selecting the surgical/procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing charge entry; and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area.

Supports the Mission of Holy Cross Health and Trinity Health.

Minimum licensure/certification required (if applicable):

N/A

Minimum Knowledge, Skills, & Abilities Required:

• High school diploma or equivalent combination of education and experience.
  
• Certified Professional Coder or Registered Health Information Technician accreditation required.
  
• Minimum of 1-3 years of experience in a medical office coding setting. Knowledge of Medicare, Medicaid, and other third-party billing rules and regulations.
  
• Preferred 1-3 years of experience in coding for surgery specialties, such as, orthopedics, neurosurgery, thoracic surgery, and / or gynecologic oncology procedures.
  
• Effective verbal, written, and interpersonal communication skills with the ability to comfortably interact with diverse populations.
  
• Ability to work collaboratively in a team-oriented environment with a strong customer-service orientation.
  
• Ability to handle patient and organizational information in a confidential manner.
  
• Demonstrated dependability and regular attendance.
  
• Ability to demonstrate competency with a standard desktop and Windows-based computer system, including a basic understanding of email, e-learning, intranet and computer navigation. Ability to use other software as required to perform the essential functions of the job.
  
• Solid understanding of ICD-10 and CPT coding and medical terminology, with knowledge of Medicare, Medicaid, Health Maintenance Organization and commercial insurance plans.
  
• Ability to maintain accurate records and to prioritize and organize work effectively.
  
• Ability to exercise independent judgment as appropriate within standard practices and procedures.
  

Working Conditions:

Physical Requirements: Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Visual Acuity: The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects, small parts, and/or operation of machines (including inspection); using measurement devices; and/or assembly or fabrication parts at distances close to the eyes.

Environmental Conditions: None. The worker is not substantially exposed to adverse environmental conditions (such as in typical office or administrative work.) Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues. The environment in which the incumbent will work requires the ability to concentrate, meet deadlines, work on several projects at the same time and adapt to interruptions.

Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.

Ability to thrive in a fast-paced, multi-customer environment, with conflicting needs which some may find stressful. May warrant varied and/or extended hours, with changes in workload and priorities to keep pace with the industry and advance strategic priorities.

May be required to travel up to 25% between locations within the Region.

The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned.

Reporting Relationship:

Reports to the Manager, Provider Revenue Operations.

Holy Cross Health is an Equal Employment Opportunity (EEO) employer.

Qualified applicants are considered for employment without regard to Minority/Female/Disabled/Veteran (M/F/D/V) status.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

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