Senior Coder - Inpatient

Allegheny Health Network; United States; On-site; USD 36,000 - 56,000; Full time

Job summary

Allegheny Health Network is seeking a skilled hospital coder to perform thorough medical record review, abstract data, and assign accurate ICD codes for diagnoses and procedures. You will help reduce unbilled accounts receivable and maintain 92–95% quality.

Responsibilities include interpreting medical information, entering data into the designated system, and staying updated on ICD guideline changes. Mentorship and process-improvement duties are also part of the role.

Qualifications

• 5 years in hospital coding experience required.
• 1 year in trauma hospital coding preferred.
• CCS or CIC certification required.
• Familiarity with medical terminology.
• Strong data entry skills.
• Ability to work with members of the health care team.

Responsibilities

• Review and interpret medical information to determine ICD codes for diagnoses and procedures. (60%)
• Abstract data elements for statistical requests and enter into designated system. (15%)
• Ensure efficient management of medical information and cash flow related to unbilled coding reports. (5%)
• Stay up to date with ICD guideline changes by attending training and reviewing resources. (5%)
• Act as a mentor and subject matter expert to others. (5%)
• Engage in process improvement with coding team and management. (5%)
• Perform other duties as assigned or required. (5%)

Skills

Strong data entry

Familiarity with medical terminology

Team collaboration

Education

High School/GED

5 years in Hospital Coding

1 year in Trauma hospital coding

CCS certification

CIC certification

Associate's degree in Health Information Management or Related Field

Job description

General Overview

This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days; all the while consistently meeting 92%-95% quality requirements.

• Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (60%)
• Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
• Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (5%)
• Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
• Acts as a mentor and subject matter expert to others. (5%)
• Engages in process improvement with coding team and management. (5%)

Company

Allegheny Health Network

Job Description

This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days; all the while consistently meeting 92%-95% quality requirements.

• Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (60%)
• Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
• Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (5%)
• Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
• Acts as a mentor and subject matter expert to others. (5%)
• Engages in process improvement with coding team and management. (5%)

Performs other duties as assigned or required. (5%)

Qualifications

Minimum

• High School/GED
• 5 years in Hospital Coding
• 1 year in Trauma hospital coding
• Certified Coding Specialist (CCS) OR Certified In-patient Professional Coder (CIC)
• Familiarity with medical terminology
• Strong data entry skills
• An understanding of computer applications
• Ability to work with members of the health care team

Preferred

• Associate's degree in Health Information Management or Related Field

Disclaimer

The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement

This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum

$25.87

Pay Range Maximum

$40.48

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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