Coding Education Advisor – Administration and Operations

Penn Medicine; Bala Cynwyd (PA); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Tuition assistance

Benefits program

Job summary

Penn Medicine Bala Cynwyd is seeking a Certified Professional Coder to educate and support coding and billing practices across the division. You will interpret legislation and third-party regulations for physician reimbursement and ensure regulatory compliance.

The role collaborates with PMMG leadership to optimize revenue cycle processes, develop divisional forms, and liaise with third party payers to resolve reimbursement issues.

Qualifications

• Certified Professional Coder with CPC or RHIA credentials.
• Bachelor's degree required.
• Minimum 2 years clinical or related experience.

Responsibilities

• Obtain, interpret, analyze, and communicate information on physician reimbursement and third-party regulations.
• Review medical records for regulatory compliance with major payers.
• Collaborate with PMMG leadership to optimize revenue cycle and operations.
• Develop and revise divisional forms for accurate billing.
• Provide divisional support for coding and billing practices.
• Serve as liaison to third party payers and department personnel on reimbursement.
• Report to Director, Ambulatory Access Optimization to maximize revenue.
• Adhere to Penn Medicine values and policies.
• Perform other duties as assigned.

Skills

CPC certification

Regulatory knowledge

Billing liaison

Communication

Education

Bachelor's degree

2+ years clinical experience

Tools

EMR systems

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?

Entity: Clinical Care Associates

Department: Administration and Operations

Location: Penn Medicine Bala Cynwyd- 2 Bala Plaza

Hours: Full Time

Summary:

• This position provides education for coding and billing practices by obtaining, interpreting, analyzing and communicating information regarding physician reimbursement legislation and third-party regulations on an on-going basis.

Responsibilities:

• Responsible for obtaining, interpreting, analyzing and communicating information regarding physician reimbursement legislation and third party regulations on an on-going basis.

• Reviews medical records for regulatory compliance with the major third parties.

• Works with Penn Medicine Medical Group (PMMG) Leadership to optimize processes related to coding, access to care, revenue cycle, and operations.

• Develop and/or revise Divisional forms to ensure complete and accurate billing.

• Provide Divisional support for coding and billing practices.

• Responsible for providing the liaison function to all third party payers, Entity Administration and the Department/Division personnel relative to reimbursement issues.

• Reports to and works with the Director, Ambulatory Access Optimization to identify methods and develop implementation plans for maximizing revenue and reimbursement.

• Performs duties in accordance with Penn Medicine and entity values, policies, and procedures

• Other duties as assigned to support the unit, department, entity, and health system organization

Credentials:

• Certified Professional Coder (Required)

• Certified Professional Coder (CPC) status or equivalent (eg, RHIA) credential required.

Education or Equivalent Experience:

• Bachelor of Arts or Science (Required)

• 2+ years Clinical or related experience ( 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.