Billing Pa

4 weeks ago

Allentown, United States St. Luke's University Health Network Full time


St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

The Physician Coder dodes and abstracts physician services performed in the hospital setting according to AHA, AMA, guidelines and CMS directives. Must assure data quality through quarterly reviews. Performs data entry of physician services statistics into specialty-specific databases. Works with Medical Records, Finance, and Physician Billing to ensure appropriate flow of information.

JOB DUTIES AND RESPONSIBILITIES:

  • Codes and abstracts professional fee hospital services performed by SLPG  physicians  from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.  Utilizes 3M Encoder for validation of RVUs and CPT-4 procedure unbundling.

  • Maintains a 95% coding accuracy rate as measured through quality reviews.

  • Maintains daily productivity as outlined

  • Responsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services.

  • Performs data entry of abstracted physician information into specialty- specific databases.

  • Conducts educational sessions to the medical staff for coding and documentation compliance.

PHYSICAL AND SENSORY REQUIREMENTS: 

Sitting for up to seven hours per day, three- four at a time.  Frequently uses fingers for typing, data entry, etc.  Frequent  use of hands.  Use of  upper extremities to rarely lift up to ten pounds.  Rarely stoops, bends, or reaches above shoulder level.  Hearing as it relates to normal conversation.  Seeing as it relates to general vision, near vision, peripheral vision and visual monotony.

EDUCATION:

RHIA, RHIT, CPC, OR CCS-P with working knowledge of ICD-9/ICD-10, CPT and HCPCS coding required.

TRAINING AND EXPERIENCE: 

Minimum 1-3 years experience in CPT/HCPCS physician procedural coding.  Previous experience with computerized patient record and coding system preferred.

Please complete your application using your full legal name and current home address.  Be sure to include employment history for the past seven (7) years, including your present employer.  Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable.  It is highly recommended that you create a profile at the conclusion of submitting your first application.  Thank you for your interest in St. Luke's



St. Luke's University Health Network is an Equal Opportunity Employer.

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