Medical Abstractionist – Physician Practice

4 months ago


Philadelphia, United States IntePros Consulting Full time

IntePros is seeking a Medical Abstractionist to join our healthcare client in Philadelphia, PA. This person will review and interpret physician service documentation in patient records to report physician activity for professional services billing. This role involves coding services using CPT-4 service codes and ICD-10 diagnosis codes, adhering to departmental standards for documentation and reporting to ensure the correct level of service is supported.

Key Responsibilities:

1. Record Analysis and Coding-

- Systematically review and analyze patient records to determine principal and additional diagnoses and procedures.

- Produce a coded abstract for physician billing.

- Review up to 90 patient charts daily with 95% accuracy, 100% of the time.

- Abstract charts of patients no longer under care within two working days of discharge, 90% of the time.

2. Diagnoses and Service Coding

- Complete ICD-10 and CPT-4 coding with 95% accuracy, 100% of the time.

3. Physician Support

- Serve as a resource for physicians regarding documentation guidelines.

- Complete a Documentation Problem Sheet within four hours of identifying an issue, 90% of the time.

- Respond to physician inquiries within two hours with recommendations, 90% of the time.

4. Knowledge Maintenance

- Maintain thorough knowledge of current diagnosis and procedural coding practices.

- Maintain certification as a procedural coder.

Skills:

- Proficient in reading and analyzing medical records.

- Clear oral and written communication skills.

- Professional telephone etiquette.

- Ability to interact professionally with physicians and patients' guardians.

- Skilled in using PC; knowledge of EPIC preferred.

- Ability to work independently.

- Strong problem-solving and decision-making skills.

Education and Experience:

- Degree in Health Information Management or equivalent experience.

- 1-3 years of coding experience.

- Strong computer, administrative, and organizational skills.

Licenses/Certificates/Registrations:

- Certification (Certified Procedural Coder) required

#LI-DS1



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