Sr. Coder

Jefferson Health Plans; Oregon; Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental and vision

Retirement plans

Tuition assistance

Flexible spending accounts

AD&D insurance

Job summary

Jefferson Health Plans is seeking a Sr. Coder Professional Billing to review records, assign ICD-10-CM, CPT, and HCPCS codes, and prepare claims remotely for a national network.

You will collaborate with clinicians and billing staff to ensure accurate coding and timely reimbursement. Ideal candidates hold CPC certification and have 2-3 years of multi-specialty coding experience, with proficiency in coding software and medical terminology.

Qualifications

• Certification: CPC (Certified Professional C coder) from recognized organizations.
• Experience: 2-3 years in medical coding, preferably in a multi-specialty healthcare setting.
• Technical Skills: Proficiency in medical coding software and a strong understanding of medical terminology and coding guidelines.

Responsibilities

• Review patient medical records and assign appropriate codes using ICD-10-CM, CPT, and HCPCS.
• Prepare and submit claims to insurance companies, ensuring accuracy and compliance for reimbursement.
• Collaborate with healthcare providers, billing staff, and others to clarify documentation and ensure coding accuracy.
• Auditing: conduct audits of medical records to ensure coding accuracy and compliance with regulations and standards.
• Provide training and support to healthcare staff on coding practices and documentation requirements.

Skills

Medical coding

CPC certification

HIPAA compliance

Tools

Coding software

Job description

Job Details Sr. Coder Professional Billing

Job Description

REMOTE

Professional Billing

• Sr. Certified Coding Medical Records : Review patient medical records and assign appropriate codes using systems like ICD-10-CM, CPT, and HCPCS for diagnoses and procedures.
• Claims Processing: Prepare and submit claims to insurance companies, ensuring compliance with regulations and accuracy in coding to facilitate reimbursement.
• Collaboration: Work closely with healthcare providers, billing specialists, and other staff to clarify documentation and ensure accurate coding practices.
• Auditing and Compliance: Conduct audits of medical records to ensure coding accuracy and compliance with federal regulations and insurance standards.
• Training and Support: Provide training and support to healthcare staff on coding practices and documentation requirements.

Required Qualifications

• Certification: Must hold a certification from recognized organizations such as AAPC (CPC)
• Experience:
• Typically requires a minimum of 2-3 years of experience in medical coding, preferably in a multi-specialty healthcare setting.
• Technical Skills: Proficiency in medical coding software and a strong understanding of medical terminology and coding guidelines.

Work Shift Workday Day (United States of America)

Worker Sub Type Regular

Employee Entity Jefferson University Physicians

Primary Location Address 925 Chestnut Street, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.