Position Overview
The Coder provides coding services and support to assigned IPM Markets/Billing Entities, utilizing clinical documentation in multiple electronic health record (EHR) systems. Applies working knowledge of medical terminology, anatomy, CPT‑4 and ICD‑10 codes and coding experience to ensure timely and accurate coding of clinical documentation. Meets or exceeds established performance targets (productivity and quality) set by the Coding Manager. Works closely with the Billing Department to ensure accuracy in charge posting to the Practice Management System (PMS). Communicates with providers and market staff to ensure that clinical documentation is completed and signed promptly, avoiding coding delays and minimizing lag days. Assists in educating providers on documentation requirements to support coding and capture all coding possibilities. Notifies appropriate CBO individuals to review coding for new procedures and initiate PMS set‑up. Demonstrates teamwork effectiveness.
Location
Must reside in one of the following locations:
Pennsylvania
Florida
New Jersey
Delaware
Texas
Nevada
Duties and Responsibilities
Provide accurate and timely coding services for assigned IPM Markets, meeting performance targets set by the Manager, Coding Integrity, and Audits.
Perform reconciliation to ensure all charges are captured and work with the Charge Capture and Insurance Billing Operations Department to ensure accurate charge posting to the PMS.
Communicate timely with providers and market staff to ensure medical record documentation is completed and signed, avoiding coding delays and minimizing lag days.
Assist in educating providers on documentation requirements to capture all coding possibilities, notify CBO individuals to review new procedures, and initiate PMS set‑up.
Maintain knowledge of CPT‑4 and ICD‑10 codes, government, managed care and third‑party billing guidelines, AMA, AAP, CMS and coding policies; uphold AAPC CPC certification.
Exercise judgment in escalating coding trends that may impact productivity, quality, or revenue, to mitigate claim denials and expedite reprocessing.
Participate in team meetings, offering new procedures and approaches to improve performance and processes.
Qualifications
High School Graduate/GED required. Technical School, 2‑Year College, or Associates Degree preferred.
Work Experience
3–5 years minimum in a healthcare billing, health insurance, or coding environment.
Multi‑specialty experience.
Primary care provider (PCP) or primary care provider experience required.
Internal medicine experience required.
Denial management experience required.
APAC CPC certification required.
Knowledge of billing, CPT‑4 and ICD‑10 codes, managed care guidelines, AMA, AAP, CMS and coding policies.
Understanding of revenue cycle preferred.
Excellent organization, attention to detail, research and problem‑solving ability.
Results‑oriented, proven in high‑performing team environment.
Service‑oriented/customer‑centric.
Strong computer skills; proficiency in Microsoft Office.
Experience with billing software (Cerner, Epic, IDX) highly desirable.
Benefits
A challenging and rewarding work environment.
Competitive compensation and generous paid time off.
Excellent medical, dental, vision and prescription drug plans.
401(k) with company match.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal‑opportunity employers and fully support the recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. Diversity and inclusion among teammates is critical to our success.
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