HIM Inpatient Coding Specialist III

Penn Medicine, University of Pennsylvania Health System; Philadelphia (Philadelphia County); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Comprehensive health benefits

Prepaid tuition assistance program

Engagement in medical advancements

Job summary

A leading academic medical center in Philadelphia is seeking a Coding Specialist to perform accurate coding and abstracting of medical records. The ideal candidate will have at least 2 years of experience in coding within an inpatient setting and possess the Certified Coding Specialist AHIMA credential. Responsibilities include ensuring coding accuracy and compliance, timely data entry, and ongoing education to maintain professional standards. Competitive benefits are offered to support employee health and well-being.

Qualifications

• Minimum 2 years experience coding in an inpatient medical center.
• Must hold a Certified Coding Specialist AHIMA credential.

Responsibilities

• Review medical records for accurate coding and abstraction.
• Maintain coding accuracy above 96% as audited.
• Timely entry of coded data into systems for billing purposes.

Skills

Coding proficiency

Attention to detail

Knowledge of medical terminology

Education

HS Diploma/GED

Certified Coding Specialist AHIMA

Bachelor's degree

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?

Department: Corporate HIM Coding

Location: Philadelphia, PA

Summary

Performs all coding and abstracting by reviewing medical records and selecting the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures accurately. Performs analysis of the DRG assigned to produce the highest level of reimbursement to which the facility is legally entitled according to stringent coding and compliance guidelines.

Responsibilities

• Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, comorbidities and complications demonstrating 96% accuracy as determined by audits.
• Sequence the diagnoses & procedures to obtain the optimal DRG or APR-DRG assignment and demonstrates 96% accuracy as determined by audits.
• Simultaneously abstracts and enters all coded information into the HDM/ClinTrac system for timely billing. This includes the correct discharge disposition verified through the CRM system (currently Canopy).
• Demonstrates a consistent level of performance; strives to maintain a steady level of productivity according to the following guidelines:
  • HUP: Average of 15 inpatient records coded daily
  • PPMC: Average of 15 inpatient records coded daily
  • PAH: Average of 19 inpatient med/surg charts or 22.5 OB/NB inpatient records coded daily
• Refers charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician for the needed documentation.
• Promptly and accurately assigns Coding Hold reasons to all records that cannot be completed immediately due to:
  • Missing Operative Notes
  • Missing Pathology Report
  • Physician Query Needed
  • Death Review
  • Discharge Disposition
  • Missing Other Reports (Card Cath, EPS, etc)
• Is willing to adjust schedule to complete workload and meet pivotal revenue cycle deadlines when requested by management. Cooperates with departmental work volumes by adjusting work schedule.
• Correctly identifies and applies Present on Admission indicators to all applicable diagnoses according to designated guidelines. Accuracy is important due to the far reaching impact on reimbursement and quality metrics.
• Consistently codes the oldest cases first and prioritizes high dollar cases over 4 days old first.
• Strives to become fluent in the inpatient coding at all of the UPHS facilities.
• Performs revenue cycle/DNFB activities as needed.
• Reviews and processes provider queries.
• Assigns high dollar and death charts to the coding staff.
• Performs SMART reviews.
• Assists the Coding Manager with other duties as assigned.
• Responsible for continuing education both inside and outside the organization along with tracking Continuing Education credits to maintain professional credentials.
• 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.

Education & Experience

• HS Diploma/GED. (Required)
• 2+ years of previous work experience coding at an inpatient academic medical center. (Required)
• Certified Coding Specialist AHIMA. (Required)
• Bachelor's degree. (Preferred)

Benefits

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.