Certified Medical Coder

Children's Hospital of Philadelphia

18h•$27 - $34•Onsite

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.