Sr. Coder

Jefferson Health Plans; United States; Remote; USD 70,000 - 100,000; Full time

Benefits offered by this job

Medical (including prescription)

Dental

Vision

Retirement plans

Tuition assistance

Disability insurance

Job summary

Jefferson University Physicians is seeking a Sr. Coder for Professional Billing in a remote capacity.

The role focuses on accurate ICD-10-CM, CPT, and HCPCS coding for diagnoses and procedures, and on submitting claims to insurers to ensure proper reimbursement. Responsibilities include auditing records for compliance, collaborating with clinicians and billing staff, and providing training on coding practices.

Qualifications

• 2-3 years of medical coding experience, preferably in a multi-specialty setting.
• CPC certification from AAPC or equivalent.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.

Responsibilities

• Review patient records and assign accurate codes.
• Prepare and submit claims to insurance payers.
• Audit medical records for coding accuracy and regulatory compliance.
• Train staff on coding practices and documentation requirements.

Skills

Medical coding

Compliance & auditing

Collaboration with providers

Education

CPC (AAPC)

Tools

Coding software

Job description

Number of Positions In Requisition

1

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.

Equal Opportunity Statement

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
• tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service
• access to medical (including prescription) insurance

For more benefits information, please click here