Certified Network Facility Lead Coder

St. Luke's University Health Network-posted 4 months ago
Full-time • Mid Level
Allentown, PA
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St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Assist the coding manager with all activities related to hospital coding including but not limited to the coding professionals for the assignment of appropriate diagnosis and procedure codes to individual patient medical records for data retrieval, analysis and claims processing. Codes and abstracts all pertinent medical information according to guidelines. Abstracts patient information into Network’s health information computer system. Collaborates with multiple departments including Health Information Management and Finance to ensure appropriate flow of patient health information.

  • Assist the coding manager with hospital coding workflow, monitoring account and claim edit work queues and re-assigning coding professionals as needed.
  • Provide clarification to coding professionals regarding AHA coding rules and application to ensure consistency within the department.
  • Assist with research of diseases and new technologies for appropriate ICD-10-CM/PCS/ CPT-4/HCPCS II diagnosis and procedure code assignment.
  • Assist the Coding Manager in the development, implementation and maintenance of coding department policies and procedures.
  • Assist with training of new coding professionals, working with them to meet/exceed department coding accuracy and productivity standards.
  • Codes and abstracts information from medical records according to ICD-10-CM/PCS, UHDDS, HCPCS II, CPT and CMS guidelines.
  • Utilizes the 3M Encoder to verify and assign ICD-10-CM/PCS codes and MS-DRG assignment.
  • Queries physicians for clarity on coding assignment.
  • Maintain a 95% coding accuracy rate as measured through quality reviews.
  • Responsible for maintaining up-to-date knowledge of coding principles and guidelines.
  • Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association; American Academy of Professional Coders and monitor coding staff for violations.
  • Demonstrate/models the Network's core values and customer service behavior and interactions with all customers.
  • Maintain confidentiality of all materials handled within the Network/Entity as well as the proper release of information.
  • Comply with Network and departmental policies regarding issues of employee, patient and environmental safety.
  • Demonstrate Performance Improvement in Clinical Care/Outcomes, Customer/Service Improvement, Operational System/Process, and Safety.
  • Demonstrate financial responsibility and accountability through the effective and efficient use of resources in daily procedures, processes and practices.
  • Act as a coding resource to other network departments as needed.
  • Formal HIM education with national certification RHIA, RHIT, CCS, CPC, COC coding certification required.
  • Minimum 5 years coding experience in acute care setting and/or professional fee hospital coding required.
  • Past auditing experience or strong training background in coding and reimbursement preferred.
  • Previous experience with EPIC health information system and 3M encoding system preferred.
  • Leadership role preferred.
  • 401k
  • health insurance
  • dental insurance
  • vision insurance
  • paid holidays
  • tuition reimbursement
  • flexible scheduling
  • employee discount programs
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