Sr. Medical Coding Analyst

Temple University Health System; United States; On-site; USD 75,000 - 95,000; Full time

Job summary

Temple Health in Philadelphia, PA seeks a Sr. Medical Coding Analyst to work with the Director of Coding to optimize charge capture and coding workflow in EPIC, Provation, and Cupid.

The role focuses on ensuring charges are transmitted for coding and that documentation supports timely submission of bills. You will review and code charges, report deficiencies to physicians, and help uphold coding guidelines and billing timelines while collaborating with leadership to improve processes and

Qualifications

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

Responsibilities

• Understand coding charge capture flow and ensure charges are submitted for coding.
• Analyze outstanding documentation and deficiencies and obtain addendums.
• Maintain documentation and controls for internal charge capture processes.
• Provide guidance on coding guidelines to physicians and leadership.

Skills

Charge capture

Coding review

Documentation analysis

Physician communication

Education

Associate's Degree

Tools

EPIC

Provation

Cupid

Job description

Sr. Medical Coding Analyst – (263899)

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

Your Tomorrow is Here!

Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University.

To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. At Temple Health, your tomorrow is here!

Equal Opportunity Employer/Veterans/Disabled

An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

Your Tomorrow is Here!

Temple Health is committed to setting new standards for preventing, diagnosing and treating major diseases in our community and across the nation. Achieving that goal means investing in our employees’ success through staff and leadership development. Our recruitment strategy is to attract and retain a diverse, high performing workforce that fosters a healthy, safe and productive environment for our patients and colleagues alike.

Primary Location

: Pennsylvania-Philadelphia

Job

: Finance

Schedule

: Full-time

Shift

: Day Job

Employee Status

: Regular