Medical Coder- Physician Practice
Children's Hospital of Philadelphia
Philadelphia, PA
medical
workforce
data
education
medical
patients
data entry
procedures
billing
coding experience
technical
health
software
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November 2, 2022
Children's Hospital of Philadelphia
Philadelphia, PA
FULL_TIME
Location: LOC_HOME-Home/Remote Office Location
Req ID: 204117
Shift: Days
Employment Status: Regular - Full Time
About Us
We’re seeking breakthrough makers! Children’s Hospital of Philadelphia was built on the belief that we can change lives. Today, in every role throughout our hospital, research institute and care network, the 22,000 members of our workforce are finding new ways – big and small – to make a difference for the patients and families we serve.
We’re seeking breakthrough makers! Children’s Hospital of Philadelphia was built on the belief that we can change lives. Today, in every role throughout our hospital, research institute and care network, the 22,000 members of our workforce are finding new ways – big and small – to make a difference for the patients and families we serve.
If you are ready to challenge yourself, be inspired and grow – no matter what your role – you just may be the kind of breakthrough maker who will thrive at CHOP.
CHOP is proud to share that we are ranked No. 1 on Forbes' 2022 list of America's Best Large Employers!
Job Summary
This role will be responsible for reviewing medical record documentation including procedure reports and assigning appropriate CPT and ICD-10 codes. This role is also responsible for timely charge submissions and or data entry of the coded services.
Job 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 escalation and timely communication of errors and omissions and clinical documentation insufficiencies.
- Review and resolution of coding related edits and errors that impact claim submission.
- Maintaining thorough knowledge of coding and documentation requirements outlined by CPT, ICD-10 CMS and CHOP Compliance for all physician services performed.
Job Responsibilities (Continued)
Job Responsibilities (Continued)
Required Licenses, Certifications, Registrations
AAPC, AHIMA, or CCS (Physician based (AHIMA)
Required Education and Experience
Required Education: High school diploma / GED
Required Experience: One (1) year of coding experience
Preferred Education, Experience & Cert/Lic
Preferred Education: Associates degree
Preferred Experience: Two (2) or more years of coding experience
Additional Technical Requirements
- Advanced knowledge of specialty coding.
- Advanced knowledge of ICD10, third party procedures, and requirements regarding 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 office software (Microsoft Office) including word processing and spreadsheet software (Word, Excel)
- Excellent verbal and written communications skills
- Excellent interpersonal skills
- Strong critical thinking / problem-solving skills
- Strong analytical skills
- Ability to maintain confidentiality and professionalism
- Ability to work independently with minimal supervision
- Ability to gather, analyze and make recommendations/decisions based on data
- Ability to convey complex or technical information in an easy to understand manner
To carry out its mission, it is of critical importance for the Children’s Hospital of Philadelphia (CHOP) to keep our patients, families and workforce safe and healthy and to support the health of our global community. In keeping with this, CHOP has mandated all workforce members on site at any CHOP location for any portion of their time be vaccinated for COVID-19 as a condition of employment. This mandate also applies to workforce members performing work for CHOP at non-CHOP locations. Additionally, all workforce members based in or regularly scheduled to work at any New Jersey location are mandated to be both vaccinated and boosted for COVID-19, with booster timing consistent with applicable guidelines. The CHOP COVID-19 vaccine mandate is in alignment with applicable local, state and federal mandates. CHOP also requires all workforce members who work in patient care buildings or who provide patient care to receive an annual influenza vaccine. Employees may request exemption consideration for CHOP vaccine requirements for valid religious and medical reasons. Please note start dates may be delayed until candidates are fully immunized or valid exemption requests are reviewed. In addition, candidates other than those in positions with regularly scheduled hours in New Jersey, must attest to not using tobacco products.
EEO / VEVRAA Federal Contractor
EEO / VEVRAA Federal Contractor
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