Job Details Coder Certified
Job Description PRIMARY FUNCTION: Abstract clinical information from Electronic Medical Record surgical reports and outpatient medical records, and assign appropriate ICD-10 and CPT codes. Educating physicians on compliance and correct coding and processing charges, review coding related denials.
ESSENTIAL FUNCTIONS: - Interacts with co-workers, visitors, and other staff consistent with the Jefferson iSCORE values
- Educates new faculty members on the coding basics, as well as all university/department compliance policies
- Completes all accounts receivable and claims manager edits.
- Assists patients with billing and insurance related questions.
- Conducts internal chart audits to ensure compliance with CPT-4 and ICD-10 coding guidelines and determines where additional physician documentation and/or signatures are required.
- Ensures billing compliance with third party payor requirements and regulations.
- EDUCATIONAL/TRAINING REQUIREMENTS: High School Diploma or GED required
- CERTIFICATES, LICENSES, AND REGISTRATION: CPC Required through AAPC or CCS through AHIMA. Will consider someone who will obtain certification within six months.
- EXPERIENCE REQUIREMENTS:
Minimum of one year of coding experience required
Experience of Medical Billing and Coding in a physician practice.
Thorough knowledge of medical coding guidelines and regulations including compliance and reimbursement requirements set forth by the Centers for Medicare & Medicaid Services.
Working knowledge of medical necessity evaluation claims denials, bundling issues and charge capture.
Knowledge of anatomy, physiology and medical terminology
Knowledge of third party billing and payment requirement, as well as requirements of managed care plans.
ADDITIONAL INFORMATION:
Electronic Charge Entry , IDX, Allscripts, EPIC Experience Preferred
Work Shift Workday Day (United States of America)
Worker Sub Type Regular
Employee Entity Thomas Jefferson University Hospitals, Inc.
Primary Location Address 111 S 11th 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 Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as 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.
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