Inpatient Health Coder

HIM Inpatient Coding Spec IIPenn 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. Location: Bala Cynwyd, PA, United StatesWork Schedule: M-F, 8 hr day shift, remoteSummary:Performs all coding and abstracting for Penn Medicine by reviewing medical records and selecting the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures accurately. Performs analysis of the DRG assigned to produce the highest level of reimbursement to which the facility is legally entitled according to stringent coding and compliance guidelines. Reviews and acts as the gatekeeper for the provider query process, by being the single point of contact with the provider community. Responsibilities:Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, co-morbidities and complications demonstrating 96% accuracy as determined by audits.Demonstrate 95% accuracy for secondary diagnosis codingSimultaneously abstracts and enters all coded information into the Epic system for timely billing. This includes the correct discharge disposition verified through the workflow located in Epic.Demonstrates a consistent level of performance; Average of 19 inpatient records coded dailyProcess retrospective queries at any facility. Productivity standard of 22 per dayMust possess the ability to code all facilities while maintain the accuracy and productivity standards sets aboveRefers charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician for the needed documentation.Promptly and accurately assigns Coding Hold reasons to all records that cannot be completed immediately due to:Missing Operative NotesMissing Pathology ReportPhysician Query NeededMortality ReviewDischarge DispositionMissing Other Reports (Card Cath, EPS, etc)Is willing to adjust schedule to complete workload and meet pivotal revenue cycle deadlines when requested by management. Accuracy is important due to the far-reaching impact on reimbursement and quality metrics.Strives to become fluent in the inpatient coding at all of the UPHS facilities.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.Performs duties in accordance with Penn Medicine and entity values, policies, and procedures.Other duties as assigned to support the unit, department, entity, and health system organization.Credentials:Certified Coding Specialist-CCS (AHIMA) (Required)RHIA or RHIT (Preferred).Diploma/GED (Required)1+ years of experience coding inpatient medical records (Required)Bachelor of Arts or Science, Health Information Management or related field (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. 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. 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.