Certified Medical Coder Abstractionist

Children's Hospital of Philadelphia

10d • $27 - $34

About The Position

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.

Requirements

• High School Diploma / GED Required
• At least one (1) year coding experience Required
• 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
• 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

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: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees