Professional Fee Coder (Remote PA/NJ) (Per diem)

St. Luke's University Health Network - Nurse; Allentown (Lehigh County); Remote; USD 50,000 - 70,000; Full time

Job summary

An established industry player is seeking a detail-oriented Physician Coder to join their team. In this role, you'll be responsible for coding and abstracting physician services in a hospital setting, ensuring data quality and compliance with coding guidelines. You'll collaborate with various departments to facilitate the flow of information and conduct educational sessions for medical staff. This position offers an opportunity to make a significant impact in healthcare, ensuring accurate coding and documentation while working in a supportive environment that values your expertise and dedication.

Qualifications

• Certification in coding (RHIA, RHIT, CPC, CCS-P) required.
• 1-3 years experience in CPT/HCPCS physician procedural coding.

Responsibilities

• Codes and abstracts professional fee hospital services from medical records.
• Maintains a 95% coding accuracy rate through quality reviews.
• Conducts educational sessions for medical staff on coding compliance.

Skills

ICD-9/ICD-10 coding

CPT coding

HCPCS coding

3M Encoder

data entry

coding accuracy

Education

RHIA certification

RHIT certification

CPC certification

CCS-P certification

Tools

computerized patient record systems

coding systems

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 healthcare providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for healthcare.

The Physician Coder performs and abstracts physician services in the hospital setting according to AHA, AMA, guidelines, and CMS directives. Must ensure data quality through quarterly reviews. Performs data entry of physician services statistics into specialty-specific databases. Collaborates with Medical Records, Finance, and Physician Billing to ensure proper flow of information.

JOB DUTIES AND RESPONSIBILITIES:

1. 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.
2. Maintains a 95% coding accuracy rate as measured through quality reviews.
3. Maintains daily productivity as outlined.
4. Responsible for staying up-to-date with coding guidelines related to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E&M services.
5. Performs data entry of abstracted physician information into specialty-specific databases.
6. Conducts educational sessions for medical staff on coding and documentation compliance.

PHYSICAL AND SENSORY REQUIREMENTS:

Sitting for up to seven hours per day, with periods of three to four hours at a time. Frequently uses fingers for typing and data entry. Uses hands frequently. Occasionally lifts up to ten pounds. Rarely stoops, bends, or reaches above shoulder level. Normal hearing for conversations. Vision requirements include general, near, peripheral, and visual monotony.

EDUCATION:

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

TRAINING AND EXPERIENCE:

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

Please complete your application using your full legal name and current home address. Include employment history for the past seven years, including your current employer. Upload a current resume with all work history, education, certifications, and licenses, if applicable. It is highly recommended to create a profile after submitting your application. Thank you for your interest in St. Luke's!

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