Medical Coder

Children's Hospital of Philadelphia

8d • $28 - $35

About The Position

The Medical Coder reviews medical record documentation, including procedure reports, and assigns appropriate CPT and ICD-10 codes. The role is responsible for timely charge submissions and/or data entry of coded services. The coder reviews records and coded services for physician billing and claim submission, resolves coding-related edits and errors, and maintains knowledge of coding and documentation requirements for physician services.

Requirements

• At least one year of coding experience.
• Advanced knowledge of specialty coding.
• Advanced knowledge of ICD-10, third-party procedures, and requirements related to 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 Microsoft Office, including word processing and spreadsheet software such as Word and Excel.
• Excellent verbal and written communication skills.
• Excellent interpersonal skills.
• Strong critical-thinking and problem-solving skills.
• Strong analytical skills.
• Ability to maintain confidentiality and professionalism.
• Ability to work independently with minimal supervision.
• Ability to gather and analyze data and make recommendations or decisions based on it.
• Ability to convey complex or technical information in an easy-to-understand manner.
• One of the following certifications is required upon hire: CPC, CPC-A, CPC-H, CCS, or CCS-P.
• High school diploma or GED.

Nice To Haves

• Associate's degree.
• At least two years of coding experience.

Responsibilities

• Systematically review and analyze patient medical records to identify appropriate diagnoses and procedures and produce coded abstracts for physician billing.
• Submit coded services for billing and/or enter coded services for claim submission in accordance with departmental productivity and accuracy standards.
• Review inpatient data and reconcile billable services, including reviewing system processing and escalating and communicating errors, omissions, and clinical documentation insufficiencies in a timely manner.
• Review and resolve coding-related edits and errors that affect claim submission.
• Maintain thorough knowledge of CPT, ICD-10, CMS, and CHOP Compliance coding and documentation requirements for physician services.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED