HIM Coding Specialist

HIM Coding Specialist

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Entity: Clinical Practices of the University of Pennsylvania (CPUP)

Department: Radiology

Location: 1500 Market Street, Philadelphia, PA

Hours: Full-Time, Day Shift Mon-Friday

Summary: Performs coding and abstracting for Penn Medicine Radiology inpatient and outpatient services by selecting the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures accurately to produce the highest level of reimbursement to which the facility and providers are legally entitled according to appropriate coding and compliance guidelines. Reviews and acts as a gatekeeper for the provider query process by being the primary point of contact for the Radiology provider community. Works with the Coding and Compliance Manager to review reports to ensure quality and performance standards are being met.

Responsibilities:

• Examines the complete medical record to accurately determine and sequence the principal & secondary diagnoses, procedures, complications, and co-morbidities demonstrating 96% accuracy as determined by audits. Accuracy is important due to the far-reaching impact on reimbursement and quality metrics.
• Simultaneously abstract and enter all information into the Epic system to ensure timely billing. This includes coding advanced Interventional Radiology services and biopsy procedures.
• Monitors assignments of ICD-10CM and CPT-4 coding to ensure full compliance with all billing requirements in accordance with federal and state regulations and specific contracts.
• Demonstrate a consistent level of performance strive to maintain a steady level of productivity according to current department guidelines. An average of 40 records are coded daily.
• Possess the ability to code all facilities while maintaining the accuracy and productivity standards set above.
• Act as a Coding Quality Specialist by referring charts that require clarification of vague or unclear documentation for accurate coding to the physician for the needed documentation.
• Reviews and processes provider queries. This includes working with the coding staff to appropriately write the query as well as communicating with the provider community to ensure the query is answered.
• Cooperates with departmental work volumes by adjusting work schedules. Completes all assignments as directed by management in a conscientious and reliable manner. Meets established deadlines. Is willing to adjust the schedule to complete workload to meet pivotal revenue cycle deadlines when requested by management. Cooperates with departmental work volumes by adjusting work schedules.
• Consistently codes the oldest cases first and prioritizes high dollar cases over 4 days old first.
• Responsible for continuing education inside and outside the organization and tracking Continuing Education credits to maintain professional credentials.
• Regularly reviews coding literature keeps current on new revised coding guidelines, and shares information with colleagues.
• Reviews all coding clinic guidelines, coding literature, etc. Proactively shares information and trends with others.
• Performs revenue cycle activities as needed.

Credentials:

• CCS or CPC (Required)

Education or Equivalent Experience:

• H.S. Diploma/GED (Required)
• 2+ years' experience coding inpatient and outpatient medical records (Required
• Bachelor of Arts or Science (Preferred)

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.