Professional Fee Coder

St. Luke’s University Health Network; Allentown (Lehigh County); Hybrid; USD 60,000 - 85,000; Full time

Job summary

St. Luke's University Health Network in Allentown seeks an experienced Physician Coder to code and abstract professional fee hospital services. You will work with Medical Records, Finance and Physician Billing to ensure accurate data flow and quarterly quality reviews.

Responsibilities include coding inpatient, outpatient and E&M services, maintaining up-to-date guidelines, and providing education sessions to clinical staff on coding and documentation compliance.

Qualifications

• RHIA/RHIT/CPC/CCS-P with working knowledge of ICD-9/ICD-10, CPT and HCPCS coding.
• Minimum 1-3 years experience in CPT/HCPCS physician procedural coding.
• Experience with computerized patient records and coding systems preferred.

Responsibilities

• Code and abstract professional fee hospital services for SLPG physicians from medical records using ICD-9/ICD-10, CPT-4, HCPCS II and CMS guidelines.
• Ensure data quality with quarterly reviews and maintain coding accuracy above 95%.
• Enter abstracted physician information into specialty databases and support billing workflows.
• Conduct coding education sessions for medical staff to ensure documentation compliance.

Skills

CPT/HCPCS coding

Data entry

Educational sessions

Education

RHIA

RHIT

CPC

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.*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:**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.*Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!!*####