Clinical Coder (Full-time, Days, Remote)

DaMar Staffing; Lancaster (Lancaster County); Remote; USD 65,000 - 90,000; Full time

Job summary

Penn Medicine is hiring an experienced Clinical Coder to join our Cardiology team. This remote role requires adherence to coding guidelines to ensure appropriate reimbursement and accuracy for clinical care analysis. Onsite meetings are required once a month.

The position strongly prefers CathLab and EP coding experience, with responsibility for inpatient and outpatient ICD-10-CM/PCS and CPT coding, DRG determination, and data quality support.

Qualifications

• High school diploma or GED required.
• Formal education in ICD-10-CM PCS and CPT-4 coding, medical terminology, anatomy and physiology.
• Certification as CCS or CCS-P or CPC or CPC-Hospital Outpatient; certification within 3 years if not certified.
• Experience in ICD-10-CM PCS coding and MS-DRG assignment; CPT-4 coding experience.
• Some experience with encoding software.

Responsibilities

• Codes and abstracts information from inpatient and outpatient records following official coding guidelines.
• Assigns ICD-10-CM diagnostic and CPT procedure codes with appropriate present on admission indicators.
• Determines MS-DRG based on diagnoses and procedures.
• Applies drug administration charges to outpatient accounts and observation hour charges to observation accounts.
• Reviews modifiers to NCCI and OCE edits.
• abstracts required clinical and demographic data from records; participates in data quality peer review.
• Assists Patient Financial Services and physician offices with coding-related issues.
• Completes a productivity record monthly.

Job description

**Description

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.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

We are hiring for an experience Clinical Coder to join our team!

This role will be working specifically with our Cardiology group and experience working with that specialty is strongly preferred.

This is a remote position working Monday thru Friday 7:00 am - 3:30 pm. You must be available to be onsite once a month for meetings.

*** experience with CathLab and EP coding( Electrophysiology ) is STRONGLY preferred.

Position Summary:

Codes and abstracts information from inpatient and outpatient records by careful analysis and adherence to official coding guidelines assuring 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, procedure codes with appropriate present on admission indicators to inpatient records, based upon the practitioner clinical documentation. Determines appropriate MS-Diagnostic Related Group DRG based upon diagnoses and procedure codes assigned.


• Assigns ICD-10-CM diagnostic and CPT procedure codes and modifiers to outpatient accounts.


• Applies drug administration charges to outpatient accounts based on the clinical documentation and guidelines.


• Applies observation hour charges to observation accounts based on the clinical documentation and guidelines.


• Reviews and appropriately applies modifiers to the NCCI National Correct Code Initiative and OCE Outpatient Code Edits .


• Abstracts required clinical and demographic data from inpatient and outpatient records.


• Participates in data quality peer review process, reviewing records according to established procedure.


• The following duties are considered secondary to the primary duties listed above:


• Assists Patient Financial Services and physician offices with coding-related issues.


• Completes a productivity record on a daily basis and submits to Clinical Coding Coordinator monthly.


• Assists with appropriate capture of inpatient case mix.

Minimum Required Qualifications:

• High school diploma or equivalent GED .


• Formal education in ICD-10-CM PCS and CPT-4 coding, medical terminology, anatomy and physiology.


• Certification as a Certified Coding Specialist CCS or Certified Coding Specialist-Physician CCS-P through AHIMA American Health Information Association , or certified by AAPC American Association Professional Coders with certification as a Certified Professional Coder CPC , or Certified Professional Coder-Hospital Outpatient COC . If not certified, coding certification is required within three 3 years of employment.


• Experience in ICD-10-CM PCS coding MS-DRG assignment this may include student work experience Experience in CPT-4 coding this may include student work experience


• Some experience with encoding software.

Credentials:

• Certified Coding Specialist


• Certified Professional Coder CPC


• **Must be AAPC Certified**

Education or Equivalent Experience:

• H.S. Diploma/GED (Required)

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

REQNUMBER: 328780