Sr. Coder

jeffersonhealth; Philadelphia (Philadelphia County); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life and AD&D insurance

Short- and long-term disability

Retirement plans

Tuition assistance

Flexible spending accounts

Job summary

Jefferson Health in Philadelphia is seeking a Sr. Coder Professional Billing to review patient records and assign codes using ICD-10-CM, CPT and HCPCS for diagnoses and procedures.

You will prepare and submit claims, collaborate with providers and staff to clarify documentation, conduct audits for compliance, and offer training on coding practices. This full-time role supports a mission-driven health system with strong commitment to patient care.

Qualifications

• Review patient records and assign codes using ICD-10-CM, CPT, and HCPCS for diagnoses and procedures.
• Prepare and submit claims to insurance companies with accuracy and regulatory compliance.
• Collaborate with healthcare providers and billing staff to clarify documentation for accurate coding.
• Conduct audits of medical records to ensure coding accuracy and compliance with regulations.
• Provide training and support to staff on coding practices and documentation requirements.

Responsibilities

• Review patient records and assign accurate ICD-10-CM/CPT/HCPCS codes.
• Submit clean claims to insurers and monitor submission status.
• Collaborate with clinicians and billing colleagues to resolve documentation gaps.
• Perform coding audits to ensure compliance with federal and payer regulations.
• Educate staff on proper coding practices and documentation standards.

Skills

Professional Billing

Auditing & Compliance

Collaboration

Training & Support

Tools

ICD-10-CM

CPT

HCPCS

Job description

Job Details

Sr. Coder Professional Billing

Job Description

• 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.

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

• medical (including prescription)


• supplemental insurance


• dental


• vision


• life and AD&D insurance


• short- and long-term disability


• flexible spending accounts


• retirement plans


• tuition assistance


• 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.