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Professional Fee Coder Job in Philadephia, Pennsylvania

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Job Title: Professional Fee Coder

Employer:Jefferson University
Type:FULL TIME
Job Location:Partial Remote
Required Certifications: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.
Required Experience:3 to 4 years
Preferred Experience:3 to 4 years
Location: Philadephia 19107, PA, US
Date Posted:5/3/2021

PRIMARY FUNCTION: 

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.                                                                        

ESSENTIAL FUNCTIONS:

  • 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.
  • 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 needed in addition to Essential Functions:

  • 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

POSITIONS, SUPERVISED OR DIRECTED (TITLES AND APPROXIMATE NUMBERS):

Will review billing work completed by JUP staff.

INTERNAL/EXTERNAL CONTACTS:

Physicians, mid-level providers, administrators, staff, patients, and insurance companies.

EDUCATIONAL/TRAINING REQUIREMENTS:

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. 

EXPERIENCE REQUIREMENTS:

Minimum of three 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.   

Applying

https://hr.jefferson.edu/careers.html


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