Medical Abstractionist - Physician Practice

Title: Medical Abstractionist - Physician Practice

Client: Children's Hospital of Philadelphia

ddress: Cira Centre, 2929 Arch St, Philadelphia, PA, 19104, US

Work Week & Start Time: Mon-Fri, FT Hours 40, 8:30 AM - 5:00 PM EST

Duration: 3 months minimum, likely extended, temp to perm possible


dditional Information:
• Looking for a Fee Abstractionist: More abstracting vs. coding/reviewing edits. High volume coding experience required.
• Specific Tasks: Coding notes, abstracting charges/diagnoses, and procedures. Understanding/background in coding, critical care, and evaluation and management. Actual coding experience, not scrubbing. High volume (15-20 notes coded per hour to start), not patients/patient charts. Limited training, ability to work independently.



Education and Experience:
• Degree in Health Information Management or equivalent experience
• 5 years Coding Experience required
• 3 years clinical environment required
• Strong computer, administrative, and organizational skills (written and oral) required



Certifications:
• C.P.C. Certification (Certified Procedural Coder) - REQUIRED NO APPRENTICE OR
• Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) OR
• Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) OR
• Certified Coding Specialist-Physician-Based (CCS-P) - American Health Information Management Association (AHIMA)



Work Schedule:
• FT Hours 40, 8:30 AM - 5:00 PM EST, Mon-Fri
• Possible Temp to Perm
• Potentially Hybrid
• 1st 90 days in office every day (30 if they perform)
• Should a contractor perform at appropriate level, move to a hybrid schedule (4 days in office/month)
JOB INFORMATION Profile/Addendum Profile Effective Date 10/2/2022 Job Code: 19043 Job Title: Medical Abstractionist - Physician Practice Date Last Reviewed: 12/16/2022 Job Family Group: Finance Group Job Family: Revenue Cycle Pay Grade: H 13 EEO Code: 5 Administrative Support Workers - (EEO Category-United States of America) Job Class: C-H 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 FUNCTIONS


Essential Functions • 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.


QUALIFICATIONS



Education Education Level Field of Study Required/
Preferred High School Diploma / GED Required ssociate's Degree Preferred



Work Experience Experience Experience Details Required/
Preferred t least one (1) year coding experience Required t least two (2) years coding experience Preferred



Licenses, Certifications, and Registrations Licenses/Certifications Issuing Agency Time to Obtain Required/
Preferred Certified Professional Coder (CPC) merican Academy of Professional Coders (AAPC) upon hire Required or Certified Professional Coder Apprentice (CPC-A) merican Academy of Professional Coders (AAPC) upon hire Required or Certified Outpatient Coder (CPC-H) merican Academy of Professional Coders (AAPC) upon hire Required or Certified Coding Specialist (CCS) merican Health Information Management Association (AHIMA) upon hire Required or Certified Coding Specialist-Physician-Based (CCS-P) merican Health Information Management Association (AHIMA) upon hire Required



Knowledge, Skills and Abilities Skills Required/
Preferred dvanced knowledge of specialty coding. dvanced knowledge of ICD10, third party procedures, and requirements regarding benefit structures, insurance verification, referrals and authorizations. dvanced 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 bility to maintain confidentiality and professionalism bility to work independently with minimal supervision bility to gather, analyze and make recommendations/decisions based on dat bility to convey complex or technical information in an easy to understand manner



Physical Demands thorough completion of this section is needed for compliance with legal standards such as the Americans with Disabilities Act. The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Physical Demand Never Occasionally (1-33% of the time) Frequently (34-66% of the time) Constantly (67-100% of the time) pply torque X Bending, stooping X Climbing stairs or ladders X Crawling X Fine motor skills using hands and arms X Fine motor skills using legs and feet X Kneeling, crouching X Lifting and carrying 1-5 lbs. X Lifting and carrying 6-10 lbs. X Lifting and carrying 11-20 lbs. X Lifting and carrying 21-30 lbs. X Lifting and carrying 31-50 lbs. X Lifting and carrying 50+ lbs. X Press X Pull X Push X Reaching down X Reaching horizontally X Reaching overhead X Reading X Running X Sitting X Standing X Twisting back or trunk X Typing / keyboarding X Viewing computer screen X Walking X



Working Environment While performing the duties of this job, the employee is required to work within the selected working environments. Working Condition Never Occasionally (1-33% of the time) Frequently (34-66% of the time) Constantly (67-100% of the time) Biological or infectious agents X Cold or hot X Confined space X Dry X Dusts or powders X Fumes X Heights X High or low pressure X Irritant chemicals X Moving machine parts X Near power supplies X Noisy X Outdoors X Sources of radiation X Sprays, mists or vapors X Toxic chemicals X Underground X Unusual lighting X Vibrating equipment X Wet or humid X Wide range of temperatures X