Physician Billing & Coding Specialist

St. Luke’s University Health Network; Allentown (Lehigh County); Remote; USD 65,000 - 90,000; Full time

Job summary

St. Luke's University Health Network in Allentown, PA seeks a Physician Coder to code and abstract physician services performed in the hospital setting and ensure data quality through quarterly reviews. You will work with Medical Records, Finance, and Physician Billing to ensure flow of information.

RHIA, RHIT, CPC, or CCS-P certification is required, with 1–3 years of CPT/HCPCS physician procedural coding experience. A strong knowledge of ICD-9/ICD-10 and CMS guidelines is essential.

Qualifications

• RHIA, RHIT, CPC or CCS-P certification required.
• Working knowledge of ICD-9/ICD-10, CPT and HCPCS coding.

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.

Skills

CPT/HCPCS coding

ICD-9/ICD-10 knowledge

Education

RHIA, RHIT, CPC, or CCS-P certification

Tools

3M Encoder

Job description

St. Luke's University Health Network in Allentown, PA seeks a Physician Coder to code and abstract physician services performed in the hospital setting and ensure data quality through quarterly reviews. You will work with Medical Records, Finance, and Physician Billing to ensure flow of information.

RHIA, RHIT, CPC, or CCS-P certification is required, with 1–3 years of CPT/HCPCS physician procedural coding experience. A strong knowledge of ICD-9/ICD-10 and CMS guidelines is essential.