General Summary
Collects, reviews, retrieves and codes data from electronic records and scanned physician orders on outpatient ancillary or emergency accounts, assigning the appropriate ICD-10-CM codes for the purposes of compliance with regulations, statistical compilation, and optimal reimbursement.
Duties and Responsibilities
Essential Functions:
Reviews physician reports, radiology reports, physician orders and other documentation and assigns appropriate ICD-10 diagnoses codes following established organizational guidelines and to support medical necessity
Follows Official Guidelines for Coding and Reporting using encoding software to identify coding edits and reviews Epic documentation to institute appropriate course of action.
Works assigned Epic Account, Charge Review or Claim Edit work queues to identify and investigate Epic edits for coding errors, charge capture, or claim edits and reviews Epic documentation to institute appropriate course of action according with NCCI, LCD, OCE and CPT guidelines. Works with billing and ancillary departments to resolve billing edits and inquiries.
Abstracts clinical data, including Attending Physician, Surgeon, Consultant, and discharge disposition for accurate reporting and claim submission.
Performs other duties that may be assigned by authorized personnel or as required to meet emergency needs of the department or Hospital.
Common Expectations:
Maintains job specific standards and expectations relative to productivity and quality.
Maintains established policies and procedures, objectives, quality assessment and safety standards.
Participates in educational programs and in-service meetings.
Maintains professional growth and development and professional credentials.
Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
Qualifications
Minimum Education:
Work Experience:
Licenses:
Certified Coding Associate Upon Hire Required or
Certified Coding Specialist Upon Hire Required or
Certified Coding Specialist - Physician Based Upon Hire Required or
Certified Interventional Radiology Cardiovascular Coder Upon Hire Required or
Certified Professional Coder Upon Hire Required or
Certified Professional Coder Apprentice Upon Hire Required or
Registered Health Information Technician Upon Hire Required or
Registered Health Information Administrator Upon Hire Required
Knowledge, Skills, and Abilities:
Knowledge of ICD-10-CM and CPT coding; knowledge of medical terminology.
Basic computer skills
Benefits Offered:
Comprehensive health benefits
Retirement savings plan
Paid time off (PTO)
Education assistance
Financial education and support, including DailyPay
Expanded Paid Parental Leave
For additional details: Benefits & Incentives | WellSpan Careers (joinwellspan.org) (https://www.joinwellspan.org/benefits/)
Quality of Life
Formed in 1813, Lebanon is a quaint city of 25,700 residents. The area, rich in heritage and the small-town charm of yesteryear, features sites on the National Register of Historic Places, museums, scenic parks and recreation facilities, performing arts theaters, artists' studios, a farmers market and dining establishments for all tastes.
Life in Lebanon County offers affordable housing and options for pursuing higher education. Residents can find local employment in manufacturing, retail, arts and entertainment, healthcare and service sectors. Located in Central Pennsylvania, Lebanon is within an easy driving distance of Harrisburg, Lancaster, Reading and York. (Patient population: 140,000)
WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.