[Hiring] Medical Abstractor - Physician Practice @Children's Hospital of Philadelphia

Role Description

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.

• 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.

Qualifications

• High School Diploma / GED - Required
• Associate's Degree - Preferred
• At least one (1) year coding experience - Required
• At least two (2) years coding experience - Preferred

Requirements

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

Salary Range

$27.35 - $34.19 Hourly

Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.