Practice Coding Specialist I

3 weeks ago

Philadelphia, United States Penn Medicine Full time

**Description**

Penn 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. Our employees shape our future each day. Are you living your life's work?

Entity: Clinical Practices of the University of Pennsylvania (CPUP)

Department: Dermatology

Location: Centre Square West Tower
- 1500 Market Street

Hours: Hybrid Schedule - Monday to Friday, 8:00 am - 4:30pm

Summary:

- This position reports to the Supervisor of Billing and is responsible for reviewing documentation and assigning the appropriate diagnoses and procedures
- specifically for professional or clinic services into appropriate codes using ICD-10 as well as completing day-to-day administrative tasks. Through efficient and accurate coding, the Practice Coding Specialist I will help ensure claims are properly coded and reimbursed for professional and facility services.

**Responsibilities**:

- Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM, ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records.
- Accurately applies ICD-10, HCPCS/CPT, and APC codes for both routine and complex procedures as well as maintains or exceeds the standard level of quality and productivity.
- Maintains up-to-date knowledge and provides guidance on requirements.
- May also review secured authorizations and pre-billed claims as needed to ensure they adequately reflect the procedures performed.
- Participates in initiatives and activities related to date integrity or billing processes associated with the hospital and clinic.
- 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:

- CCS or CPC is required.
- RHIA or RHIT is preferred.

Education or Equivalent Experience:

- H.S. Diploma/GED required.
- 1-3 years Coding experience, including outpatient or specialty coding is required.

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. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. 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.

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