Certified Medical Coder

Children's Hospital of Philadelphia; Philadelphia (Philadelphia County); Sur place; USD 39 000 - 48 000; Plein temps

Résumé du poste

Children's Hospital of Philadelphia (CHOP) is seeking a skilled medical coder to review patient records, assign CPT and ICD-10 codes, and ensure timely billing submissions. The role emphasizes accuracy, compliance, and data integrity within the CHOP revenue cycle.

The ideal candidate has CPC certification with 1+ year of coding experience and strong knowledge of EHR systems, CPT/ICD-10 guidelines, and confidential data handling. This is a full-time on-site position in Philadelphia.

Qualifications

• Certification as CPC/CPC-A/CPC-H/CCS or CCS-P required upon hire or equivalent.
• Minimum 1 year of coding experience required; 2+ years preferred.
• Knowledge of CPT/ICD-10-CMS guidelines and CHOP compliance.

Responsabilités

• Review medical records to determine diagnoses and procedures for coding.
• Submit coded services for billing and data entry for claims.
• Review inpatient data and resolve denials and documentation gaps.
• Maintain knowledge of CPT, ICD-10-CMS and CHOP compliance requirements.
• Communicate errors and omissions and escalate as needed.

Connaissances

ICD-10 coding

EHR proficiency

MS Office

Verbal communication

Written communication

Interpersonal skills

Critical thinking

Analytical skills

Confidentiality

Independent work

Data analysis

Formation

High School Diploma / GED

Associate's Degree

Description du poste

Seeking Breakthrough Makers

Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

SHIFT: Day (United States of America)

Seeking Breakthrough Makers

Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care - and your career.

CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means.

A Brief Overview

This role will be responsible for reviewing medical record documentation including procedure reports and assigning appropriate CPT and ICD-10 codes. This role is also responsible for timely charge submissions and or data entry of the coded services.

What You Will Do

• Systematically review and analyze patient medical records to determine all appropriate diagnosis and procedures performed, and to produce coded abstract for physician billing.
• Submission of coded services for billing and or data entry of the coded services for claim submission in accordance with departmental productivity and accuracy standards.
• Review of inpatient data and reconciliation of billable services including, review of system processing and appropriate escalation and timely communication of errors and omissions and clinical documentation insufficiencies.
• Review and resolution of coding related edits and errors that impact claim submission.
• Maintaining thorough knowledge of coding and documentation requirements outlined by CPT, ICD-10 CMS and CHOP Compliance for all physician services performed.

Education Qualifications

• High School Diploma / GED - Required
• Associate's Degree - Preferred

Experience Qualifications

• At least one (1) year coding experience - Required
• At least two (2) years coding experience - Preferred

Skills And Abilities

• Advanced knowledge of specialty coding.
• Advanced knowledge of ICD10, third party procedures, and requirements regarding benefit structures, insurance verification, referrals and authorizations.
• Advanced knowledge of general financial counseling and the revenue cycle.
• Familiarity with electronic health records (EHR).
• Intermediate proficiency with office software (Microsoft Office) including word processing and spreadsheet software (Word, Excel)
• Excellent verbal and written communications skills
• Excellent interpersonal skills
• Strong critical thinking / problem-solving skills
• Strong analytical skills
• Ability to maintain confidentiality and professionalism
• Ability to work independently with minimal supervision
• Ability to gather, analyze and make recommendations/decisions based on data
• Ability to convey complex or technical information in an easy to understand manner

Licenses and Certifications

• Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) - upon hire - Required or
• Certified Professional Coder Apprentice (CPC-A) - American Academy of Professional Coders (AAPC) - upon hire - Required or
• Certified Outpatient Coder (CPC-H) - American Academy of Professional Coders (AAPC) - upon hire - Required or
• Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - upon hire - Required or
• Certified Coding Specialist-Physician-Based (CCS-P) - American Health Information Management Association (AHIMA) - upon hire - Required

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more.

EEO / VEVRAA Federal Contractor | Tobacco Statement

SALARY RANGE:

$28.05 - $35.05 Hourly

Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.

At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting.

Click here for more information regarding CHOP's Compensation and Benefits.