Sr. Medical Coding Analyst

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

Job summary

Temple-Health is seeking a Coding Specialist to work with the Director of Coding on charge capture and billing processes. You will ensure that charges are transmitted to the coding work queue, review documentation, and advise physicians on deficiencies to ensure accurate submission of billing.

Responsibilities include maintaining coding guidelines, analyzing trends, and coordinating with Compliance on educational opportunities.

Qualifications

• 3 years experience in physician/multi-specialist practice coding.
• Knowledge of third-party reimbursement policies for professional services.
• Experience with Professional Fee Coding, Billing, and Collections.

Responsibilities

• Understand coding charge capture flow and ensure charges are transmitted to coding queue.
• Analyze outstanding documentation and deficiencies with physicians.
• Maintain documentation and controls for internal charge capture processes.
• Collaborate with TUHS Compliance for educational opportunities.

Skills

Professional Fee Coding

Billing & Collections

Third-Party Policies

Education

Associate’s Degree

Equivalent Experience

Tools

EPIC

Provation

Cupid

Job description

3401 North Broad Street, Philadelphia, Pennsylvania, United States

Tracking Code

263899

Weekly Hours

40.00

Schedule

Full-Time

Shift

Day Shift

Job Description

Working with the Director of Coding to understand coding charge capture flow and process. Ensures charges are being transmitted to the coding work queue to be reviewed and coded. Analyze and report to physicians all outstanding documentation/reports and any deficiency that requires additional information and/or addendums in order to properly status and submit billing accordingly. Ensures procedural dictations are appropriately documented and timely in various TUHS application systems, including but not limited to EPIC, Provation and/or Cupid. Adhere and follow all coding guidelines. Communicates guidelines to the physicians and leadership. Analyzes coding trends on a routine basis and provide leadership with a long-range plan for training and process improvement. Ensures that all internal charge capture processes and controls are well documented and in place in order to maintain accountability. Maintain a database for reconciliation (the tracking and trending of coding reports and results) that can report on multiple factors and qualifiers. Work with TUHS Compliance on a routine basis and provide feedback on areas of educational opportunity.

Education

• Associate's Degree Required or
• Combination of relevant education and experience may be considered in lieu of degree Required

Experience

• 3 years experience working in a physician/multi-specialist medical practice and procedural coding Required
• General Experience and demonstrated knowledge of third-party reimbursement policies and procedures related to professional fee services Required
• General Experience and demonstrated knowledge of Professional Fee Coding, Billing, and Collection Activity Required

Licenses

• Certified Coding Specialist Required or
• Certified Professional Coder Required or
• Reg Health Information Admin Required