Highmark-posted 2 months ago
$25 - $38/Yr
Remote Position, PA
5,001-10,000 employees
Insurance Carriers and Related Activities

This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days; all the while consistently meeting 92%-95% quality requirements.

  • Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures.
  • Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system.
  • Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report.
  • Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work.
  • Acts as a mentor and subject matter expert to others.
  • Engages in process improvement with coding team and management.
  • Performs other duties as assigned or required.
  • High School/GED
  • 5 years in Hospital Coding
  • 1 year in Trauma hospital coding
  • Certified Coding Specialist (CCS) OR Certified In-patient Professional Coder (CIC)
  • Familiarity with medical terminology
  • Strong data entry skills
  • An understanding of computer applications
  • Ability to work with members of the health care team
  • Associate's degree in Health Information Management or Related Field
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