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Claims Coding Specialist


Company

Lancaster General Hospital

Cost Center

2040 Patient Financial Services

Supervisory Organization

Patient Financial Services-Revenue Integrity

Grade

G12

Summary

This position is located in Lancaster, PA

HOURS: Full Time - Day Shift

POSITION SUMMARY:  Analyze and resolve billing edits, with a focus on coding, to ensure the timely and compliant submission of claims.

ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

  • Resolve claim edits that prevent claims from billing, by reviewing records and other applicable documentation
  • Interact with ancillary departments to obtain additional information needed
  • Identify charging, coding, or clinical documentation issues, work with ancillary departments to resolve
  • Have a working knowledge of the Revenue Cycle with a particular focus on billing
  • Provide coding support to Claims Specialists
  • Recommend solutions to problems to improve operational efficiencies and optimize revenue
  • Able to anticipate issues that negatively impact department
  • Assist with special projects and other duties as assigned

JOB REQUIREMENTS

MINIMUM REQUIRED QUALIFICATIONS:

  • HS diploma or equivalent (GED)
  • Formal education in ICD-10-CM/PCS and CPT-4 coding, medical terminology, anatomy and physiology
  • Certification as a Certified Coding Specialist (CCS) or Certified Coding Specialist – Physician (CCS-P) through AHIMA (American Health Information Association), or certified by AAPC (American Association Professional Coders) with certification as a Certified Professional Coder (CPC), or Certified Professional Coder – Hospital Outpatient (CPC-H) within three (3) years of hire.
  • Strong written and verbal communication skills

PREFERRED QUALIFICATIONS:

  • One (1) to three (3) years of Revenue Cycle Experience
  • One (1) to three (3) years of ICD-10-CM Coding Experience
  • One (1) to three (3) years of CPT-4 Coding Experience
  • Working knowledge of Correct Coding Initiative (CCI) Policy Edits

LGH Full Time Posted on 04/03/2020