Senior Medical Abstractionist - Division of Ophthalmology

Children’s Hospital of Philadelphia • Philadelphia, PA

8d • $30 - $38

About The Position

This role will be responsible for reviewing medical record documentation including procedure reports and assigning appropriate CPT and ICD-9 codes. Monitors changes in coding procedures and assisting in training staff. Reviews complex (problematic coding that needs research) medical records and communicating findings with coders and management. May also collaborate on internal QA and coding reviews when required.

Requirements

• High School Diploma / GED Required
• At least five (5) years of coding experience Required
• Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) - upon hire - Required or
• Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - upon hire - Required or
• Certified Coding Specialist-Physician-Based (CCS-P) - American Health Information Management Association (AHIMA) - upon hire - Required
• Strong computer, administrative, and organizational skills (written and verbal)

Nice To Haves

• Associate's Degree Preferred
• At least three (3) years of experience in a clinical environment 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 communication and escalation to management any errors and omissions.
• Review and resolution of coding related edits and errors that impact claim submission.
• Maintaining thorough knowledge of coding and documentation and abides by requirements and official guidelines outlined by CPT, ICD-9, CMS and CHOP Compliance for all physician services abstracted

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees