Medical Abstractionist

2 weeks ago


Philadelphia, United States InterSources Full time
Job Title: Medical Abstractionist - Physician Practice
Location: Philadelphia, PA
Duration: 3 Months+

Shift : Mon to Fri 8:30 to 5:00

Job responsibilities:
  • Systematically review and analyze patient records to determine the principal diagnosis and level of service, all significant additional diagnoses and procedures and to produce a coded abstract for physician billing (60%)
  • Review up to 90 patient charts per day and abstract diagnoses, physician services and procedures with 95% accuracy, 100% of the time.
  • Abstract charts of patients no longer under care of practice physicians within two working days of discharge from care, 90% of the time.
  • Code diagnoses, level of service and procedures consistent with patient care documentation (20%)
  • Complete ICD-10 and CPT-4 coding with 95% accuracy, 100% of the time.
  • Serve as a resource to Department physicians regarding guidelines for patient care documentation and respond to physician inquiries on proper documentation of patient care (10%)
  • Complete a Documentation Problem Sheet within four hours of identification of a problem/issue, 90% of the time.
  • Respond to physician inquiries within two hours with recommendations and/or options for problem resolution, 90% of the time.
  • Maintain a thorough knowledge of current diagnosis and procedural coding practices and their application to the Product of services provided by Department physicians (10%)
  • Maintain certification as a procedural coder.

Education:
  • Degree in Health information management or equivalent experience
  • 2-3 years Coding Experience required
  • Strong computer, administrative, and organizational skills (written and oral) required

Required Licenses/certificates:
  • C.P.C. Certification (Certified Procedural Coder)-REQUIRED
  • E/M and Critical Care coding experience

Skills:
  • Ability to read and analyze medical records.
  • Clear oral and written communication skills.
  • Professional telephone etiquette.
  • Ability to interact with physicians and patients' parents or guardians in a professional and helpful manner.
  • Ability to use PC skillfully.
  • Knowledge of EPIC preferred.
  • Ability to work independently.
  • Problem-solving and decision-making skills.
  • Level 2A - No Covid Vax Required


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