Certified Medical Coder Abstractionist

Children’s Hospital of Philadelphia • Philadelphia, PA

3d • $27 - $34 • Onsite

About The Position

Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career. This role will be responsible for reviewing medical record documentation including procedure reports and assigning appropriate CPT and ICD-10 codes. This role is also responsible for timely charge submissions and or data entry of the coded services. CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means.

Requirements

• High School Diploma / GED Required
• At least one (1) year coding experience Required
• Advanced knowledge of specialty coding.
• Advanced knowledge of ICD10, third party procedures, and requirements regarding benefit structures, insurance verification, referrals and authorizations.
• Advanced knowledge of general financial counseling and the revenue cycle.
• Familiarity with electronic health records (EHR).
• Intermediate proficiency with office software (Microsoft Office) including word processing and spreadsheet software (Word, Excel)
• Excellent verbal and written communications skills
• Excellent interpersonal skills
• Strong critical thinking / problem-solving skills
• Strong analytical skills
• Ability to maintain confidentiality and professionalism
• Ability to work independently with minimal supervision
• Ability to gather, analyze and make recommendations/decisions based on data
• Ability to convey complex or technical information in an easy to understand manner
• Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) - upon hire - Required or
• Certified Professional Coder Apprentice (CPC-A) - American Academy of Professional Coders (AAPC) - upon hire - Required or
• Certified Outpatient Coder (CPC-H) - American Academy of Professional Coders (AAPC) - upon hire - Required or
• Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - upon hire - Required or
• Certified Coding Specialist-Physician-Based (CCS-P) - American Health Information Management Association (AHIMA) - upon hire - Required

Nice To Haves

• Associate's Degree Preferred
• At least two (2) years coding experience Preferred

Responsibilities

• Systematically review and analyze patient medical records to determine all appropriate diagnosis and procedures performed, and to produce coded abstract for physician billing.
• Submission of coded services for billing and or data entry of the coded services for claim submission in accordance with departmental productivity and accuracy standards.
• Review of inpatient data and reconciliation of billable services including, review of system processing and appropriate escalation and timely communication of errors and omissions and clinical documentation insufficiencies.
• Review and resolution of coding related edits and errors that impact claim submission.
• Maintaining thorough knowledge of coding and documentation requirements outlined by CPT, ICD-10 CMS and CHOP Compliance for all physician services performed.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees