Nov 13, 2023

Medical Coder - Physician Practice

  • Children's Hospital of Philadelphia
  • Philadelphia, PA
Full Time (CPC) Certified Professional Coder

Job Description

Seeking Breakthrough Makers

Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career.

CHOP’s Commitment to Diversity, Equity, and Inclusion

CHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining diverse talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children.

We strongly encourage all candidates of diverse backgrounds and lived experiences to apply.

A Brief Overview
This role will be responsible for reviewing medical record documentation including procedure reports and assigning appropriate CPT and ICD-10 codes. This role is also responsible for timely charge submissions and or data entry of the coded services.

What you will do

  • Systematically review and analyze patient medical records to determine all appropriate diagnosis and procedures performed, and to produce coded abstract for physician billing.
  • Submission of coded services for billing and or data entry of the coded services for claim submission in accordance with departmental productivity and accuracy standards.
  • Review of inpatient data and reconciliation of billable services including, review of system processing and appropriate escalation and timely communication of errors and omissions and clinical documentation insufficiencies.
  • Review and resolution of coding related edits and errors that impact claim submission.
  • Maintaining thorough knowledge of coding and documentation requirements outlined by CPT, ICD-10 CMS and CHOP Compliance for all physician services performed.

Education Qualifications

  • High School Diploma / GED - Required
  • Associate's Degree - Preferred

Experience Qualifications

  • At least one (1) year coding experience - Required
  • At least two (2) years coding experience - Preferred

Skills and Abilities

  • Advanced knowledge of specialty coding.
  • Advanced knowledge of ICD10, third party procedures, and requirements regarding benefit structures, insurance verification, referrals and authorizations.
  • Advanced knowledge of general financial counseling and the revenue cycle.
  • Familiarity with electronic health records (EHR).
  • Intermediate proficiency with office software (Microsoft Office) including word processing and spreadsheet software (Word, Excel)
  • Excellent verbal and written communications skills
  • Excellent interpersonal skills
  • Strong critical thinking / problem-solving skills
  • Strong analytical skills
  • Ability to maintain confidentiality and professionalism
  • Ability to work independently with minimal supervision
  • Ability to gather, analyze and make recommendations/decisions based on data
  • Ability to convey complex or technical information in an easy to understand manner

Licenses and Certifications

  • Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) - upon hire - Required or
  • Certified Professional Coder Apprentice (CPC-A) - American Academy of Professional Coders (AAPC) - upon hire - Required or
  • Certified Outpatient Coder (CPC-H) - American Academy of Professional Coders (AAPC) - upon hire - Required or
  • Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - upon hire - Required or
  • Certified Coding Specialist-Physician-Based (CCS-P) - American Health Information Management Association (AHIMA) - upon hire - Required

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must be fully vaccinated against COVID-19 and receive an annual influenza vaccine. Learn more.

Employees may request exemptions for valid religious and medical reasons. Start dates may be delayed until candidates are immunized or exemption requests are reviewed.

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Required Experience Level

Intermediate Level

Minimum Education

High School

Minimum Experience Required

0-2 years

Required Travel

No required travel