Professional Fee Coder (Full time) (Remote PA/NJ)

St. Luke's University Health Network; New York (NY); Remote; USD 75,000 - 110,000; Full time

Job summary

St. Luke's University Health Network is seeking a Physician Coder to code and abstract physician services performed in the hospital setting according to AHA, AMA, guidelines and CMS directives. Must assure data quality through quarterly reviews.

Works with Medical Records, Finance, and Physician Billing to ensure accurate flow of information; training and education on coding compliance are part of the role.

Qualifications

• Minimum 1-3 years experience in CPT/HCPCS physician coding.
• Proficiency with hospital coding guidelines and CMS directives.
• Experience with computerized patient record systems preferred.

Responsibilities

• Codes and abstracts professional fee hospital services according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.
• Utilizes 3M Encoder for validation of RVUs and CPT-4 unbundling.
• Maintains a 95% coding accuracy rate as measured through quality reviews.
• Maintains daily productivity as outlined.
• Keeps up-to-date knowledge of coding guidelines for hospital inpatient, observation, consultant, surgical, CCU, 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

Data entry

Quality assurance

Interdepartmental coordination

Education

RHIA

RHIT

CPC

CCS-P

CCS

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:

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)

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.