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

St. Luke's University Health Network; Philadelphia (Philadelphia County); Remote; USD 65,000 - 85,000; Full time

Job summary

St. Luke's University Health Network is seeking a Physician Coder to code and abstract professional services in the hospital setting, ensuring accuracy and compliance with CMS directives.

The role involves data entry, education of medical staff, and collaboration with Medical Records, Finance and Physician Billing. Qualified candidates will have RHIA, RHIT, CPC, CCS-P or CCS credentials, with 1–3 years of CPT/HCPCS physician coding experience and a working knowledge of ICD-9/ICD-10, CPT, and

Qualifications

• RHIA, RHIT, CPC, CCS-P or CCS credentials required.
• Must obtain AHIMA or AAPC credential within 1 year of hire.
• Working knowledge of ICD-9/ICD-10, CPT and HCPCS coding required.
• 1–3 years CPT/HCPCS physician procedural coding experience.

Responsibilities

• Codes and abstracts professional fee hospital services per ICD-9/ICD-10, CPT-4, HCPCS II and CMS guidelines.
• Maintain 95% coding accuracy as measured by quality reviews.
• Maintain daily productivity.
• Stay up-to-date with coding guidelines for hospital inpatient, observation, consultant, surgical, critical care and E&M services.
• Conduct educational sessions for medical staff on coding and documentation compliance.

Skills

Data entry

Education

RHIA

RHIT

CPC

CCS-P

CCS

Tools

3M Encoder

ICD-9/ICD-10

CPT-4

HCPCS II

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.