Sr. Medical Coding Analyst

Temple University Health SystemPhiladelphia, PA

About The Position

Working with the Director of Coding to understand coding charge capture flow and process. Ensures charges are being transmitted to the coding work queue to be reviewed and coded. Analyze and report to physicians all outstanding documentation/reports and any deficiency that requires additional information and/or addendums in order to properly status and submit billing accordingly. Ensures procedural dictations are appropriately documented and timely in various TUHS application systems, including but not limited to EPIC, Provation and/or Cupid. Adhere and follow all coding guidelines. Communicates guidelines to the physicians and leadership. Analyzes coding trends on a routine basis and provide leadership with a long-range plan for training and process improvement. Ensures that all internal charge capture processes and controls are well documented and in place in order to maintain accountability. Maintain a database for reconciliation (the tracking and trending of coding reports and results) that can report on multiple factors and qualifiers. Work with TUHS Compliance on a routine basis and provide feedback on areas of educational opportunity.

Requirements

  • Associate's Degree Required or Combination of relevant education and experience may be considered in lieu of degree
  • 3 years experience working in a physician/multi-specialist medical practice and procedural coding
  • General Experience and demonstrated knowledge of third-party reimbursement policies and procedures related to professional fee services
  • General Experience and demonstrated knowledge of Professional Fee Coding, Billing, and Collection Activity
  • Certified Coding Specialist Required or Certified Professional Coder Required or Reg Health Information Admin Required

Responsibilities

  • Understand coding charge capture flow and process.
  • Ensure charges are transmitted to the coding work queue for review and coding.
  • Analyze and report to physicians on outstanding documentation/reports and deficiencies.
  • Ensure procedural dictations are appropriately documented and timely in various TUHS application systems.
  • Adhere to and follow all coding guidelines.
  • Communicate coding guidelines to physicians and leadership.
  • Analyze coding trends and provide leadership with a long-range plan for training and process improvement.
  • Ensure internal charge capture processes and controls are well documented and in place.
  • Maintain a database for reconciliation of coding reports and results.
  • Provide feedback to TUHS Compliance on areas of educational opportunity.
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