Medical Coder - Physician Practice

Equiliem
medical insurance, dental insurance, life insurance, 401(k)
United States, Pennsylvania, Philadelphia
3401 Civic Center Boulevard (Show on map)
Nov 11, 2024
Client Summary: Our client has been the birthplace for countless breakthroughs and dramatic firsts in pediatric medicine. Built on a foundation of delivering safe, high-quality, family-centered care, the Hospital has fostered medical discoveries and innovations that have improved pediatric healthcare and saved countless children's lives. Job Description: Medical Abstractionist - Physician Practice Reviews and interprets the documentation of physician services in patient records to report physician activity for professional services billing. Key components of the reporting of physician services include coding of services using CPT-4 service codes and ICD-10 diagnoses codes. Must apply Departmental standards for the documentation and reporting of physician services in determining the correct level of service supported by the documentation of physician services in the patient record. 1. 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. 2. 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. 3. 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. 4. Maintain a thorough knowledge of current diagnosis and procedural coding practices and their application to the scope of services provided by Department physicians (10%) Maintain certification as a procedural coder. Education Requirement Degree in Health information management or equivalent experience Required Licenses/Certificates: C.P.C. Certification (Certified Procedural Coder) Knowledge, Skills, Abilities: 1-3 years Coding Experience Strong computer, administrative, and organizational skills (written and oral) required 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. Schedule Notes: FT Hours 40 8:30AM-5PM EST M-F Potentially Hybrid 1ST 30-60 DAYS IN OFFICE EVERY DAY SHOULD A CONTRACTOR PERFORM AT APPROPRIATE LEVEL, MOVE TO A HYBRID SCHEDULE 2 DAYS IN OFFICE/ WEEK 3 DAYS REMOTE Equiliem Healthcare specializes in staffing clinical, non-clinical, and allied personnel. We excel in all levels, disciplines, and specialties within the healthcare spectrum. Our projects range from short to long term local and travel assignments. Equiliem has been recognized as a certified small business enterprise. In addition, we are proud that we have earned the prestigious Joint Commission accreditation for staffing firms and have been awarded Best in Staffing 4 years running by our employees and client partners. Benefits offered to our workers include the following: Medical Insurance Vision & Dental insurance Life Insurance 401K Commuter Benefits Employee Discounts & Rewards Payroll Payment Options