Review clinical documentation from ambulatory areas
Resolve billing discrepancies and charge errors
The role involves monitoring, reviewing, and accurately applying coding principles to clinical documentation to support reimbursement and regulatory compliance
Job Summary
The role involves monitoring, reviewing, and accurately applying coding principles to clinical documentation to support reimbursement and regulatory compliance.
Cleveland Clinic is recognized as one of the top hospitals in the nation, offering a rewarding career with endless support and appreciation.
This position requires investigating and resolving charge errors while managing professional held claims within the CCF claims processing system.
Matching Summary
The role involves monitoring, reviewing, and accurately applying coding principles to clinical documentation to support reimbursement and regulatory compliance.
Skills & Requirements
Must-have
Apply diagnosis codes and CPT codes
Review clinical documentation from ambulatory areas
Resolve billing discrepancies and charge errors
Ensure adherence to federal coding guidelines
Reconcile patient schedules with billing records
Nice-to-have
Urology surgical coding experience
Ability to work under stress and meet deadlines
Strong communication skills for physician collaboration
Key Requirements
High School Diploma or GED
Three years of coding experience including one year complex coding
Certification: CCA, CCS, CCS-P, RHIT, RHIA, CPC, or COC
Knowledge of human anatomy, physiology, and medical terminology
Internal candidates must be current Professional Coder II or meet benchmarks