Clinical Coder II

Performs specialized diagnosis and procedural coding entry for review by the Clinical Coder IV entry for review by the Clinical Coder IV for all operative procedures and inpatient consulting services performed by the faculty of the Department of Neurological Surgery including those performed in Gainesville and Halifax. Requires review of operative reports and/or progress notes to determine documentation of billable services and to either verify or to apply the appropriate ICD-10 and CPT codes. Confirms physician attestation statements are in place, when appropriate. Provides guidance and education to attending surgeons, fellows and residents on all coding issues. As coding questions arise, incumbent is responsible for researching issues through all available resources including but not limited to professional associations, federal and private payer guidelines, and coding networks. Meets with Department Chair or Administrato on a regular basis to review individual or product line coding issues Verifies patient demographic and health insurance data for accuracy and resolves any discrepancies. 

Maintains a database containing information including surgical charges, diagnosis codes, CPT codes, date of service, and attending physician. Responsible for ensuring that there are no unsigned or missing operative records. Enters charges for both surgical cases and non-surgical inpatient events. Responsible for chart reviews for the purpose of regulatory and coding compliance and to ensure all services appropriate for coding and charging have been captured. Ensures proper documentation of teaching provider involvement. This position is responsible for monitoring and correcting all TES edits in the Epic system. Sets up guarantor accounts in Epic by determining if charges are considered personal/family, auto, worker’s comp, etc. Adds insurance information into Epic by determining what the relationship of the patient is to the subscriber, obtaining insurance policy numbers and claim address and subscriber information such as date of birth, address, etc. Fills out claim information record for every charge submitted in Epic, by adding items such as date of injury, state of injury, type of injury, admit date, discharge date, authorization number, etc. Verifies patient insurance by electronic submission through Epic checking website or by contacting insurance company via telephone. Determines if patient was an emergency admit, hospital to hospital transfer or an endovascular case for statistical database.

Works closely with Associate Director to determine charges to be rendered for surgical procedures and insurance reimbursement on those patient accounts. Attends monthly meetings with the Coder’s Forum to review EPIC product line performance and coding issues. Conducts independent research and prepares reports as requested by Associate Director and faculty members to determine appropriateness and effectiveness of coding practices.

Attends periodic meetings, seminars and classes to improve coding skills. Attends monthly meetings with the Coder’s Forum to review EPIC product line performance and coding issues. Collaborates with the leadership of the department in developing processes to positively impact the Remains current on coding changes and works to become an expert in neurosurgical coding. Reviews publications for same purpose. This is an important aspect of the position as coding and rule changes are numerous and affect the reimbursement of the department for procedures performed. Must train faculty members and residents on methods of coding and billing and keep them apprised of coding changes, as well as assisting faculty with the resolution of coding questions and problems.

$24.50-$27.50 per hour

High school diploma or equivalent and three years of professional medical coding experience. Appropriate college coursework or vocational/technical training may substitute at an equivalent rate for the required experience. Certified Professional Coder (CPC)/ American Academy of Professional Coders (AAPC) or Certified Coding Specialist (CCS-P) required.

Knowledge of medical terminology, surgical coding Certification as a coder, either CPC (American Academy of Professional Coders) or CCS-P (American Health Information Management Association).

Knowledge of business and office practice; Knowledge of Excel, and other applicable software.

Ability to analyze financial data and able to generate understandable reports.

Ability to communicate effectively, verbally and in writing.

Application must be submitted by 11:55 p.m. (ET) of the posting end date.