Sr. Coder

Jefferson Health Plans • Philadelphia, PA

1d • Onsite

About The Position

This role involves coding medical records by reviewing patient charts and assigning appropriate codes using systems like ICD-10-CM, CPT, and HCPCS for diagnoses and procedures. The Sr. Coder will also prepare and submit claims to insurance companies, ensuring compliance with regulations and accuracy for reimbursement. Collaboration with healthcare providers, billing specialists, and other staff is essential for clarifying documentation and ensuring accurate coding practices. Additionally, the role includes conducting audits of medical records to ensure coding accuracy and compliance with federal regulations and insurance standards, as well as providing training and support to healthcare staff on coding practices and documentation requirements.

Requirements

• Must hold a certification from recognized organizations such as AAPC (CPC).
• Typically requires a minimum of 2-3 years of experience in medical coding, preferably in a multi-specialty healthcare setting.
• Proficiency in medical coding software and a strong understanding of medical terminology and coding guidelines.

Responsibilities

• Review patient medical records and assign appropriate codes using systems like ICD-10-CM, CPT, and HCPCS for diagnoses and procedures.
• Prepare and submit claims to insurance companies, ensuring compliance with regulations and accuracy in coding to facilitate reimbursement.
• Work closely with healthcare providers, billing specialists, and other staff to clarify documentation and ensure accurate coding practices.
• Conduct audits of medical records to ensure coding accuracy and compliance with federal regulations and insurance standards.
• Provide training and support to healthcare staff on coding practices and documentation requirements.

Benefits

• medical (including prescription)
• supplemental insurance
• dental
• vision
• life and AD&D insurance
• short- and long-term disability
• flexible spending accounts
• retirement plans
• tuition assistance
• voluntary benefits
• tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed