Coder Certified

Job Details

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

Worker Sub Type

Employee Entity

Primary Location Address

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 65000 people strong dedicated to providing the highest-quality compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrows 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 8300 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 diemcolleagues adjunct faculty and Jeff Temps) have access to medical (including prescription) insurance.

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