Med Abstract - Physician Practice

Children's Hospital of Philadelphia

2d•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. The role involves systematically reviewing and analyzing patient medical records to determine all appropriate diagnoses and procedures performed, and to produce a 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.

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
Certified Professional Coder Apprentice (CPC-A) - American Academy of Professional Coders (AAPC) - upon hire - Required
Certified Outpatient Coder (CPC-H) - American Academy of Professional Coders (AAPC) - upon hire - Required
Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - upon hire - Required
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.