Description
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?
Summary:
- Position Summary: Responsible for the accurate and timely coding and or billing entry for both inpatient outpatient accounts.
- Qualified individuals must have the ability with or without reasonable accommodation to perform the following duties:
- Codes ICD and CPT patient encounters and enters charges billing codes for all patient contacts for Lancaster General Hospital or other facilities
- Assures ICD and CPT codes are accurate, to ensure compliance with all third party payors.
- If appropriate, registers or covers the registration of all patient encounters.
- Maintains a thorough knowledge of coding and billing requirements for all payor s .
- Maintains current knowledge of all coding and billing processes as related to registration and charge entry.
- Assists with reviewing the results of record reviews, and corrects errors as instructed..
- Performs periodic, random record reviews to assure accurate coding and billing of charges.
- Reconciles charge entry against Admission Discharge Transfer or outpatient reports, to ensure that there are no discrepancies between documentation and dates of service entered.
- Organizes coding billing information for filing after data entry.
- Maintains accurate record of all coding billing documentation.
- The following duties are considered secondary to the primary duties listed above:
- May schedule office patients.
- Verifies patient’s personal information and updates system as necessary.
- Assists with filing, data entry or other clerical duties when necessary.
- Assists with special projects as assigned.
- Other duties as assigned.
Responsibilities:
- Minimum Required Qualifications:
- High School diploma or equivalent GED .
- Certification as a Certified Coding Specialist-Physician CCS-P through AHIMA American Health Information Association , or certified by AAPC American Association Professional Coders with certification as a Certified Professional Coder CPC. If not certified, coding certification is required within 3 years of employment.
- At least one year of experience with Professional CPT Coding
- One 1 year of experience coding with ICD-10.
- One 1 year experience in a physician office setting
- A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e. not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program.
- Prior experience performing retrospective reviews of Evaluation and management coding and or surgical coding
- Attention Concentration: The following level of ability is essential for the jobholder to focus on certain aspects of current experience and reject others:
- The position requires the ability to attend to more than one aspect of a situation simultaneously. It is highly likely that multiple task demands are going to be required of the individual at the same time.
- New Learning and Memory: The following level of ability is essential for the jobholder to learn and retain material:
- A large portion of this position required reliance on verbal memory and new learning. Efficiency in processing of verbal information, either in written or spoken form, is a major requirement and prerequisite of the job. The individual must be able to attend to and process multiple bits of information simultaneously. The individual must be able to organize and categorize this information effectively so that later recall is feasible.
- Problem Solving, Reasoning and Creative Thinking: The following level of ability that is essential for the jobholder to think in order to solve a problem by combining two or more elements from past experience or imaginative thought:
- The position required much autonomy of thought and problem solving. The individual must be able to apply principles of logical or scientific thinking to define problems. The individual must be able to think abstractly, which is manifested in the ability to form concepts, use categories, generalize from single instances, apply procedural rules and general principles, and be aware of subtle or intrinsic aspects of a problem. The development of hypothesis and potential solutions to problems involves careful interpretation, analysis and diagnosis. The individual must be able to collect data, establish facts, and draw valid conclusions. The individual must be able to think creatively with a degree of inventiveness, experimentation and intuition. They must be able to deal with a variety of concrete and abstract variables.
- The following are essential requirements of the position in relation to job-worker situations. These items describe how a worker must adapt, adjust, conform or act:
- Repetitive work: Ability to continuously perform the same type of work for extended periods of time, according to set procedures, sequence or pace.
- Performing under stressful conditions: Ability to perform under stress when confronted with emergency, critical, unusual, or dangerous situations, or in situations in which working speed and sustained attention are critical aspects of the job. Is subject to danger or risk, or to tension as a regular, consistent part of the job.
- Variety and change: Ability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure involving significant differences in technologies, techniques, procedures, environmental factors, physical demands, or work situations.
- Communication: Ability to exchange information with others clearly and concisely; to present ideas, facts and technical information.
- Interpersonal relations: Ability to maintain relationships that facilitate task accomplishment; to cooperate and resolve conflicts; to recognize needs and be sensitive of others.
Credentials:
- Certified Coding Specialist (Required)
- Certified Prof Coder Hospital (Required)
Education or Equivalent Experience:
- H.S. Diploma/GED (Required)
- 1+ years At least one year of experience with Professional CPT Coding
1+ years One (1) year of experience coding with ICD-10
1+ years One (1) year experience in a physician office setting
Prior experience performing retrospective reviews of Evaluation and management coding and/or surgical coding
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.
Live Your Life's Work
We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.