PRO FEE CODING SPEC - PFS PHYSICIAN - MIAMISBURG - FT/DAYS

Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.

Kettering Health Miamisburg  

• Serving the residents of Warren, Butler, and Southern Montgomery counties for over 40 years.
• Kettering Health Miamisburg, formerly Sycamore Medical Center, is a full-service hospital located minutes west of the Dayton Mall on Miamisburg-Centerville Road off I-75 in Miamisburg, Ohio.
• The cornerstone services for KH Miamisburg have been Bariatric surgeries and Orthopedic care. 
• Expanded services include emergency care, sleep center, mammography, breast MRI, cardiac catheterization lab, wound center and DEXA scanning. 
• 142 bed facility
• Awarded with 100 Top Hospital by IBM Watson Health for the 10th time in 2019.
• In 2020, KH Miamisburg received an “A” from the Leapfrog Group, a national patient safety watchdog, ranking among the safest hospitals in the United States.
• Accredited by the American College of Emergency Physicians as a Level 3 Geriatric Emergency Department.
• KH Miamisburg received several awards from Healthgrades:
  • Outstanding Patient Experience Award (2017-2019)
  • America’s 100 Best Hospitals for Prostate Surgery Award (2020)
  • Joint Replacement Excellence Award (2020)

Job Summary:

The Pro Fee Coding Specialist reviews, interprets and verifies evaluation and management (E&M) and procedural codes according to the physician's documented office visit notes, orders, hospital notes and other pertinent physician documentation loaded in the medical record. Utilizes coding expertise to accurately code diagnoses based on the physician's documented diagnosis. Identifies and codes global services and/or appropriate concurrent services according to coding guidelines, and applies correct modifiers. Where necessary, corrects codes that have been assigned by physician practices to ensure data and codes are consistent with ICD-10 CM Official Guidelines, CPT, and CMS.

Job Requirements:
Required Licenses
[Ohio, United States] Coder, Health Information
One of the following coding certifications: Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), Certified Coding Specialist Physician (CCS-P) through the American Health Information Management Certification, or, Certified Professional Coder (CPC) through the American Academy of Professional Coders.

Required Skills
Advanced knowledge and understanding of ICD-10 CM Coding Guidelines, CPT, Evaluation and Management Coding and Documentation Guidelines as well as Pro Fee hospital procedure coding and billing. Has excellent customer service and communications skills and able to develop and maintain effective work relationships with team members, staff, leaders, and physicians. Experience with software applications including EPIC, and Microsoft Office (Word, Excel, PowerPoint, and Outlook).