|Required Certifications:||CPC/CPC-H or CCS
|Preferred Certifications:||ICD-10 certification
Under general supervision and according to established procedures, including but not limited to productivity and quality standards, the Professional Fee Coder focuses their work on identification of codes based solely on the source documentation for International Classification of Diseases Manual – Clinical Modification (ICD-9-CM & ICD-10-CM) and the American Medical Associations Current Procedural Termination (CPT) Manual.
•Reviews outpatient records and interpret documentation to identify all diagnoses and procedures.
•Assigns proper ICD-9-CM/ICD-10-CM and CPT diagnosis and procedure codes in accordance with Official Coding Guidelines.
•Reviews Epic work queues for additional information needed for billing.
•Assists with daily reconciliation of anesthesia services.
•Contacts providers and/or staff when necessary to gain additional information or clarify documentation discrepancies.
•Assesses the adequacy of medical record documentation to ensure it supports all reportable diagnoses and procedures.
•Communicates daily to appropriate persons regarding any issues or concerns pertaining to coding, abstracting, or billing.
•Maintains an up-to-date knowledge and understanding of current trends and widely accepted practices related to professional fee billing and compliance; pursue professional
growth and development opportunities.
•Interacts with co-workers, visitors, and other staff consistent with the core values of the University.
OTHER FUNCTIONS AND COMPETENCIES:
•Expertise in reviewing and assigning accurate medical codes and modifiers for diagnoses, procedures, and professional fee services performed by physicians and other qualified health care providers in the office or facility setting.
•Proficiency across a wide range of services, including evaluation and management, surgical specialties, medicine, anesthesia, radiology, and pathology.
•A sound knowledge of medical coding guidelines and regulations including compliance and reimbursement requirements set forth by the Centers for Medicare & Medicaid Services.
•Working knowledge of medical necessity evaluation claims denials, bundling issues and charge capture.
•Understand how to integrate medical coding and payment policy changes into a practice's reimbursement processes.
•Knowledge of anatomy, physiology and medical terminology necessary to correctly code provider diagnosis and services
Education includes High School Diploma or GED, Associates degree or certificate from an accredited program in health information management, technology, medical coding or related field required.
CERTIFICATES, LICENSES, AND REGISTRATION:
Certified Professional Coder (CPC)/(CPC-H) through the American Academy of Professional Coding or Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA). ICD-10 certification preferred.
Minimum of five years of experience with chart abstraction and/or review of medical records and assignment of correct ICD-9-CM and CPT codes in a professional fee billing environment.
Jefferson Health delivers state of the art healthcare services to patients throughout the Delaware Valley and southern New Jersey. Jefferson (Philadelphia University + Thomas Jefferson University) provides more than 7,800 students from nearly 40 states and 40 countries with 21st century professional education. Combined, we have 30,000 employees.
Jefferson Health, with 14 hospitals (seven are Magnet designated by the ANCC for nursing excellence) and 40+ outpatient and urgent care locations, offers a broad range of primary and complex, highly specialized care that touches the lives of more than four million patients annually. U.S. News & World Report has ranked Thomas Jefferson University Hospital among the nation’s best in 10 specialties. Jefferson Health also includes the NCI designated Sidney Kimmel Cancer Center; it is one of only 70 such centers in the nation.
Jefferson (Philadelphia University + Thomas Jefferson University) has ten colleges and three schools that offer more than 160 undergraduate and graduate programs. Our University is dedicated to inter-professional and transdisciplinary approaches to learning that offer a vibrant and expandable platform for professional education. Through this unique model, we are preparing our students for current and yet to be imagined careers.
As an employer, the Jefferson Enterprise maintains a commitment to provide equal access to employment. Jefferson values diversity and encourages applications from women, members of minority groups, LGBTQ individuals, disabled individuals, and veterans.
Instructions for Resume Submission: Apply on line: http://hr.jefferson.edu/human-resources.html Job ID #9223587