Clinical Coder (40 hours/week)

Penn Medicine; Lancaster (Lancaster County); On-site; USD 40,000 - 80,000; Full time

Job summary

An established industry player in healthcare is seeking a Clinical Coder to join their dynamic team. This role involves coding and abstracting clinical information from patient records, ensuring compliance with coding guidelines and regulations. The ideal candidate will have a strong background in ICD-10-CM and CPT coding, along with a commitment to ethical standards. This position offers a collaborative environment where you can contribute to the quality of patient care while benefiting from comprehensive health programs and tuition assistance. Join a team that values your expertise and dedication to excellence.

Benefits

Comprehensive health programs

Tuition assistance

Qualifications

• Commitment to ethical coding standards and accurate coding practices.
• Experience in coding and clinical documentation review.

Responsibilities

• Codes and abstracts information from inpatient and outpatient records.
• Assigns ICD-10-CM and CPT codes based on clinical documentation.

Skills

ICD-10-CM coding

CPT-4 coding

MS-DRG assignment

medical terminology

anatomy

physiology

data quality peer review

Education

High school diploma or GED

Formal education in coding

Certification as CCS, CCS-P, CPC, or COC

Tools

encoding software

Job description

Join to apply for the Clinical Coder (40 hours/week) role at Penn Medicine, University of Pennsylvania Health System

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.

**Summary:**

• Position Summary: Codes and abstracts information from inpatient and outpatient records by careful analysis and adherence to official coding guidelines, ensuring appropriate reimbursement, compliance with regulations, and accuracy for clinical care analysis and provider profiling.
• Qualified individuals must have the ability, with or without reasonable accommodation, to perform the following duties:
• Demonstrates commitment to the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA). Assigns codes based upon clinical coding guidelines.
• Assigns ICD-10-CM diagnostic and procedure codes with appropriate present on admission indicators to inpatient records, based on clinical documentation. Determines appropriate MS-DRG based on diagnoses and procedure codes.
• Assigns ICD-10-CM diagnostic and CPT procedure codes and modifiers to outpatient accounts.
• Applies drug administration charges and observation hour charges to outpatient accounts based on clinical documentation and guidelines.
• Reviews and applies modifiers to NCCI and OCE edits appropriately.
• Abstracts required clinical and demographic data from records.
• Participates in data quality peer review processes.
• The following duties are secondary:
• Assists Patient Financial Services and physicians with coding-related issues.
• Completes daily productivity records and submits monthly.
• Assists with inpatient case mix capture.

**Minimum Required Qualifications:**

• High school diploma or GED.
• Formal education in ICD-10-CM, PCS, CPT-4 coding, medical terminology, anatomy, and physiology.
• Certification as a CCS, CCS-P, CPC, or COC through AHIMA or AAPC. If not certified, certification must be obtained within three years of employment.
• Experience in ICD-10-CM, MS-DRG assignment, and CPT-4 coding, including student work experience.

**Preferred Qualifications:**

• Experience with encoding software.

We believe that the best care for our patients starts with the best care for our employees. Our benefits include comprehensive health programs, tuition assistance, and more. Penn Medicine is an Equal Opportunity employer, considering candidates without regard to race, ethnicity, gender, age, disability, and other protected statuses.