Professional Fee Coder

sluhn; Allentown (Lehigh County); On-site; USD 60,000 - 80,000; Full time

Job summary

St. Luke's University Health Network seeks a professional medical coder to accurately code and abstract hospital services for physicians, ensuring compliance with ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines. The role includes data entry and ongoing education for staff.

You will maintain a 95% coding accuracy rate, manage daily productivity, and stay current with all coding guidelines across inpatient, observation, consult, surgical, and E&M services.

Qualifications

• RHIA/RHIT/CPC/CCS-P credentials are required.
• 1–3 years of CPT/HCPCS physician coding experience.
• Working knowledge of ICD-9/ICD-10, CPT, HCPCS systems.

Responsibilities

• Code and abstract professional fee hospital services for SLPG physicians per guidelines.
• Maintain a 95% coding accuracy rate via quality reviews.
• Maintain productivity as outlined in department expectations.
• Stay current with coding guidelines for hospital inpatient, observation, and E&M services.
• Enter abstracted physician information into databases.
• Conduct educational sessions to medical staff on coding and documentation compliance.

Skills

CPT/HCPCS coding

Data entry

Medical coding accuracy

Education

RHIA, RHIT, CPC, OR CCS-P

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.

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:

RHIA, RHIT, CPC, OR CCS-P with working knowledge of ICD-9/ICD-10, CPT and HCPCS coding required.

TRAINING AND EXPERIENCE:

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

Thank you for your interest in St. Luke's!!

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