Coder

UHS•King of Prussia, PA

12h•Remote

About The Position

Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. POSITION OVERVIEW Coder Certification Required. The Coder provides coding services and support to assigned IPM Markets/Billing Entities, as required, utilizing clinical documentation in multiple electronic health record (EHR) systems. Applies working knowledge of medical terminology, anatomy, CPT-4 and ICD-10 codes and coding skills/ experience to ensure timely and accurate coding of clinical documentation. Meets or exceeds established performance targets (productivity and quality) established by the Coding Manager. Works closely with the Billing Department to ensure accuracy in charge posting to the Practice Management System (PMS). Effectively communicates with providers and market staff to ensure that clinical documentation is completed and signed to avoid coding delays and minimize lag days. Assists in educating providers on clinical documentation requirements to support their coding and ensure all coding (charge) possibilities are being captured. Timely notification to the appropriate CBO individuals to review coding for new procedures and initiate PMS set-up (to include fees). Demonstrates the ability to be an effective team. Successful candidate must live in one of these locations: Pennsylvania Florida New Jersey Delaware Texas Nevada

Requirements

High School Graduate/GED required.
Experience (3-5 years minimum) working in a healthcare (professional) billing, health insurance, coding or equivalent operations work environment.
Must have multi speciality experience.
PCP or primary care provider experience required.
Internal medicine experience required.
Denial management experience required
AAPC CPC Certification required.
Healthcare (professional) billing, CPT-4 and ICD-10 codes, government, managed care and third-party billing guidelines, AMA, AAP, CMS and coding policies.
Excellent organization skills, attention to detail, research and problem-solving ability.
Results oriented with a proven track record of accomplishing tasks within a high-performing team environment.
Service-oriented/customer-centric.
Strong computer literacy skills including proficiency in Microsoft Office

Nice To Haves

Technical School, 2 Years College, or Associates Degree preferred.
Understanding of the revenue cycle and how the various components work together preferred.
Billing software (e.g., Cerner, Epic, IDX) experience highly desirable

Responsibilities

Provides accurate and timely coding services and support to assigned IPM Markets, as required, utilizing clinical documentation in multiple electronic health record (EHR) systems.
Meets or exceeds established performance targets (productivity and quality) established by the Manager, Coding Integrity, and Audits.
Performs effective reconciliation to ensure that all charges are captured and works closely with the Charge Capture and Insurance Billing Operations Department to ensure accuracy in charge posting to the Practice Management System (PMS).
Timely communication with providers and market staff to ensure that medical record documentation is completed and signed to avoid coding delays, minimize lag days and meet team goals/objectives
Assists in educating providers on clinical documentation requirements to support their coding and ensure all coding (charge) possibilities are being captured.
Timely notification to the appropriate CBO individuals to review coding for new procedures and initiate PMS set-up (to include fees).
Maintains an expanded knowledge base CPT-4 and ICD-10 codes, government, managed care and third-party billing guidelines, AMA, AAP, CMS and coding policies.
Meets continued education guidelines to maintain current AAPC CPC certification.
Exercises good judgement in escalating identified coding trends that may negatively impact productivity, quality, or revenue to mitigate claim denials, expedite reprocessing of claims and maximize opportunities to enhance front end, coding-related claim edits to facilitate first pass resolution.
Participates in regularly scheduled team meetings offering new paths, procedures, and approaches to maximize opportunities for performance and process improvement.