Clinical Coder Level I HIM Inpatient Specialist (Full-Time, Remote)

Penn Medicine; East Petersburg (Lancaster County); Remote; USD 70,000 - 110,000; Full time

Job summary

Penn Medicine is seeking a Certified Coding Specialist to code inpatient and outpatient records with adherence to official guidelines. This is a remote, nationwide role with full-time hours Monday through Friday.

The position requires CCS or CCS-P certification, and experience in ICD-10-CM PCS and CPT-4 coding along with MS-DRG assignment. AHIMA standards and high attention to accuracy are essential.

Qualifications

• Requires CCS or CCS-P certification. AHIMA standards knowledge mandatory.
• Inpatient ICD-10-CM PCS and CPT-4 coding experience required.
• Experience with MS-DRG assignment and outpatient coding.
• Knowledge of medical terminology, anatomy and physiology.

Responsibilities

• Codes and abstracts information from inpatient and outpatient records.
• Assigns ICD-10-CM and CPT codes with proper modifiers.
• Determines MS-DRG based on codes and documentation.
• Maintains compliance with coding guidelines and regulatory standards.

Skills

ICD-10-CM PCS coding

CPT-4 coding

Medical terminology

Anatomy & physiology

MS-DRG assignment

Encoding software

Education

High school diploma / GED

AHIMA CCS or CCS-P certification

Tools

Encoding software

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?

• Certified Coding Specialist ONLY (Required) - Inpatient experience is a MUST!

Remote position. Hiring nationwide!!!

Hours: Full-time, Monday through Friday - flexible start and end time/ 40 hours per week.

Summary:

• 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.
• 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
• 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 (Required)
• Inpatient plus hospital coding experience a PLUS!!!

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.