Coding Education Advisor - Administration and Operations

Penn Medicine; Bala Cynwyd (PA); On-site; USD 60,000 - 80,000; Full time

Job summary

Penn Medicine Bala Cynwyd is seeking an Education/Compliance professional to educate coding and billing practices by interpreting and communicating physician reimbursement legislation and third-party regulations. This role supports PMMG leadership to optimize billing processes and revenue cycle across the division.

Required CPC or RHIA credentials, a BA/BS, and 2+ years clinical or related experience. This is a full-time position in Administration and Operations at Penn Medicine Bala Cynwyd.

Qualifications

• Bachelor of Arts or Science required.
• 2+ years clinical or related experience required.
• Certified Professional Coder (CPC) status or equivalent (eg, RHIA) credential required.

Responsibilities

• Obtains, interprets, analyzes and communicates information regarding physician reimbursement legislation and third party regulations on an on-going basis.
• Reviews medical records for regulatory compliance with major third parties.
• Collaborates with PMMG Leadership to optimize processes related to coding, access to care, revenue cycle, and operations.
• Develops and/or revises divisional forms to ensure complete and accurate billing.
• Provides divisional support for coding and billing practices.
• Serves as liaison to third party payers, Entity Administration and department personnel regarding reimbursement issues.
• Reports to the Director, Ambulatory Access Optimization to identify methods and develop implementation plans for maximizing revenue and reimbursement.
• Performs duties per Penn Medicine values, policies, and procedures.

Education

Bachelor of Arts or Science

2+ years Clinical or related experience

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.