Emergency Department Medical Coder (Remote) (PA/NJ Residents ONLY)

St. Luke’s Health Network, Inc.; Allentown (Lehigh County); Remote; USD 60,000 - 90,000; Full time

Job summary

St. Luke's University Health Network seeks a Physician Coder to code and abstract hospital physician services in accordance with AHA, AMA guidelines and CMS directives.

You will ensure data quality through quarterly reviews and collaborate with Medical Records, Finance, and Physician Billing to ensure proper information flow. The role requires maintaining a 95% coding accuracy, ongoing knowledge of ICD/CPT/HCPCS guidelines, and primary responsibility for data entry into specialty databases.

Qualifications

• Must have working knowledge of ICD-9, ICD-10, CPT, and HCPCS coding.
• Minimum 1-3 years experience in CPT/HCPCS physician procedural coding.
• Candidates who are RHIA, RHIT, CPC, CCS-P eligible must obtain the AHIMA or AAPC credential within one year of hire.

Responsibilities

• Codes and abstracts professional fee hospital services for SLPG physicians from medical records per ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.
• Maintain a 95% coding accuracy rate as measured through quality reviews.
• Maintain daily productivity.
• Stay up-to-date on coding guidelines for hospital inpatient, observation, consultant, surgical, critical care, and E/M services.
• Perform data entry of abstracted physician information into specialty databases.
• Conduct educational sessions to the medical staff for coding and documentation compliance.

Skills

Medical coding

Data entry

Quality assurance

Education sessions

Education

RHIA

RHIT

CPC

CCS-P

CCS

Tools

3M Encoder

Job description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

The Physician Coder codes and abstracts physician services performed in the hospital setting according to AHA, AMA, guidelines and CMS directives. Must assure data quality through quarterly reviews. Performs data entry of physician services statistics into specialty-specific databases. Works with Medical Records, Finance, and Physician Billing to ensure appropriate flow of information.

JOB DUTIES AND RESPONSIBILITIES

• Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines. Utilizes 3M Encoder for validation of RVUs and CPT-4 procedure unbundling.
• Maintains a 95% coding accuracy rate as measured through quality reviews.
• Maintains daily productivity as outlined
• Responsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services.
• Performs data entry of abstracted physician information into specialty- specific databases.
• Conducts educational sessions to the medical staff for coding and documentation compliance.

PHYSICAL AND SENSORY REQUIREMENTS

Sitting for up to seven hours per day, three- four at a time. Frequently uses fingers for typing, data entry, etc. Frequent use of hands. Use of upper extremities to rarely lift up to ten pounds. Rarely stoops, bends, or reaches above shoulder level. Hearing as it relates to normal conversation. Seeing as it relates to general vision, near vision, peripheral vision and visual monotony.

EDUCATION

• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)
• Certified Professional Coder (CPC)
• Certified Coding Specialist - Physician-based (CCS-P)
• Certified Coding Specialist - (CCS)

A working knowledge of ICD-9, ICD-10, CPT, and HCPCS coding is required.

Candidates who are RHIA, RHIT, CPC, CCS-P eligible, or otherwise credential-eligible at the time of hire must obtain the applicable AHIMA or AAPC credential within one (1) year of their hire date as a condition of continued employment with St. Luke's University Health Network.

TRAINING AND EXPERIENCE

Minimum 1-3 years experience in CPT/HCPCS physician procedural coding. Previous experience with computerized patient record and coding system preferred.

St. Luke's University Health Network is an Equal Opportunity Employer.