LOCATION: 700 Ackerman Road, Columbus, OH

OSU PHYSICIANS, INC. We believe that being engaged and sharing in a larger purpose at work is instrumental to the employee experience. “Tradition, iconic, determination, teamwork, competitive, purpose, compassion, community, pride, integrity.” These are words that our employees use to describe what it feels like to embody the “Buckeye Spirit” and work for our organization. Sound like something you are seeking? We invite you to keep reading. Located throughout Central Ohio serving as the clinical service arm of one of America's top-ranked academic medical centers, OSU Physicians, Inc. fosters an environment built on diversity, employee development and quality patient care. At our organization, we value inclusiveness, determination, empathy, sincerity, ownership and innovation by leading the charge toward a better future through the power of connection.

Our vision is to push the boundaries of discovery and knowledge to solve significant health problems and deliver unparalleled care to our patients. Apply now and work together with us to make a greater impact on our society in which we serve.

PURPOSE:  Monitors the coding activities for professional services provided to patients within a specified clinical area or group of clinical specialty areas.  This position utilizes advanced knowledge of specialty coding to analyze patient medical records, ensuring that documentation by providers adheres to legal and procedural requirements. This position is responsible for assigning specified codes to medical diagnoses and/or clinical procedures. 

REQUIREMENTS:  High School diploma or GED; Certification in CPC, CCS, CCS-P; or specialty coding with one to three years experience directly related to coding and reimbursement for physician services; or equivalent combination of education and experience. Knowledge of CPT, HCPCS procedure and professional supply codes and ICD-10 CM (or current version) diagnosis codes used for billing services provided by physicians and licensed non-physician providers. Knowledge of reimbursement requirements. Knowledge of current and developing issues as well as trends in medical coding procedures and billing requirements.  Ability to gather, interpret and analyze data. Develop, recommend, and implement solutions. Ability to interact and communicate with individuals at all levels of the organization.

PREFERENCES:  Experience working with Electronic Medical Records and IHIS.

DUTIES AND RESPONSIBILITIES:

• Determines accurate CPT, HCPCS procedure and professional supply codes and ICD-10-CM diagnosis codes used for billing services provided by physicians and licensed non-physician providers.
• Performs activities related to physician practice management and coding to maintain compliance with payer reimbursement policies and Federal health care program requirements.
• Provides training and education on coding and compliance issues to physicians, non-physician providers and staff on an ongoing basis.
• Interacts with patient care providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation as well as communication on coding and compliance issues.
• In collaboration with compliance, prepares information and recommendations to providers regarding improved documentation practices to avoid future issues, including claim denials.
• Research inquiries from providers and patients regarding coding questions.
• Monitors data sources to ensure receipt and analysis of all charges.
• Participates as needed with departments to ensure the forms/super bills utilized are accurate regarding diagnostic, procedural and supply code changes.
• Ensures strict confidentiality of financial and medical records.
• Attendance, promptness, professionalism, the ability to pay attention to detail.
• Cooperativeness, politeness, and collaboration with co-workers, managers, customers, vendors, and patients.
• Other duties or special projects as assigned.

BENEFITS: We know that having options and robust benefit plans are important to you. To make sure our teams have a great experience working with us, we offer:

• Health Insurance Plans
• Short and Long Term Disability Plans
• Life Insurance
• Tuition Reimbursement Program
• Paid Parental Leave
• Company-paid Retirement Program