[Hiring] Provider Based Coding Analyst I @Lehigh Valley Health Network

Role Description

Performs ICD-10-CM and HCPCS/CPT-4 coding for 1-2 Tier 1 specialties.

• Enters a variety of data such as diagnoses, procedures, E/M levels, and modifiers into the hospital information system.
• Adheres to coding principles, governmental regulations, and third party requirements in regards to coding and billing documentation.
• Reviews and resolves relevant edits to ensure accuracy and integrity of info billed to payers.
• Achieves and maintains established quality standards.
• Achieves and maintains established productivity standards.
• Provides feedback to providers; makes recommendations to improve medical record documentation.
• Meets turnaround time requirements. Monitors assigned work queues and alerts manager if lag days exceed established standard.
• Works with coding manager to ensure maximum reimbursement for properly documented services.

Qualifications

• Associate’s Degree in a healthcare related field or coding.
• Coding curriculum to include medical terminology, A&P, ICD-10-CM, and coding guidelines.
• Less than 1 year of experience in multi-specialty.
• Knowledge and understanding of medical terminology.
• Knowledge and understanding of provider based billing processes and workflows.
• Knowledge of human anatomy and physiology and disease processes.
• Skilled in collecting and analyzing complex data.
• Proficient, functional use of Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-10-CM) and HCPCS.
• CCA - Certified Coding Associate AHIMA - State of Pennsylvania within 1 Year or
• CCS - Certified Coding Specialist AHIMA - State of Pennsylvania or
• CCS-P - Certified Coding Specialist-Physician Based AHIMA - State of Pennsylvania or
• CPC - Certified Professional Coder - State of Pennsylvania or
• CPC-H - Certified Professional Coder-Hospital AAPC - State of Pennsylvania.

Requirements

• Bachelor’s Degree in healthcare related field (preferred).
• 1 year of experience in multi-specialty (preferred).
• CPC - Certified Professional Coder - State of Pennsylvania Upon Hire (preferred).
• CCS-P - Certified Coding Specialist-Physician Based AHIMA - State of Pennsylvania Upon Hire (preferred).
• RHIT - Registered Health Information Technician - State of Pennsylvania Upon Hire (preferred).

Physical Demands

• Lift and carry 25 lbs.
• Frequent sitting/standing.
• Frequent keyboard use.
• Patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting, and performing CPR.

Work Shift

• Day Shift
• Monday-Friday; 8:00a-4:30p

Address

• 1200 S Cedar Crest Blvd
• Primary Location: REMOTE IN PENNSYLVANIA