Medical Coder

Children’s Hospital of Philadelphia • Philadelphia, PA

10d • $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 submits coded services for physician billing and claim submission while meeting departmental productivity and accuracy standards. The position also reviews inpatient data, reconciles billable services, resolves coding-related edits and errors affecting claims, and communicates errors, omissions, and clinical documentation insufficiencies. The coder maintains knowledge of applicable coding and documentation requirements from CPT, ICD-10, CMS, and CHOP Compliance.

Requirements

• High school diploma or GED.
• 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 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 data.
• Ability to communicate complex or technical information in an easy-to-understand manner.
• At hire, must hold one of the following certifications: CPC, CPC-A, CPC-H, CCS, or CCS-P.

Nice To Haves

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

Responsibilities

• 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 issues while communicating errors, omissions, and clinical documentation insufficiencies in a timely manner.
• Review and resolve coding-related edits and errors that affect claim submission.
• Maintain knowledge of coding and documentation requirements outlined by CPT, ICD-10, CMS, and CHOP Compliance for physician services.

What This Job Offers

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