Coding Specialist - Surgical-1(Full Time/ Day shift)
Summary
Job Description
POSITION SUMMARY: Serves as a resource to practices for coding issues and education. Optimize revenue through appropriate coding while adhering to official coding guidelines for the purpose of assuring accuracy and compliance when billing insurance carriers
LOCATION: Lancaster, PA
HOURS: Full time (40 Hours per Week), 7:30AM-4:00PM Monday through Friday; ; Remote possibility once trained.
$2,500 SIGN-ON BONUS! (external candidates)
ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:
- Prepare and present coding education to practices and providers based on findings of chart reviews
- Prepare and present coding education to new providers joining the practices to ensure understanding current evaluation and management guidelines
- Review and resolve charges in work queues based on payer edits, CCI edits, and coding-related denials
- Perform medical records audit reviews for non-governmental insurance carriers using an established points system
- Collaborate with customer service department to resolve coding-related patient complaints
SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:
- Utilize payer guidelines to ensure accurate coding
- Assist the team with occasional special projects
- Other duties as assigned
JOB REQUIREMENTS
MINIMUM REQUIRED QUALIFICATIONS:
- High school diploma or equivalent (GED)
- Formal education in ICD-10-CM coding, CPT-4 coding, and medical terminology
- Certification as Certified Coding Specialist for Physicians (CCS-P) or a Certified Professional Coder (CPC). If not certified, coding certification is required within three (3) years of employment
- Two years of ICD-10-CM coding experience
PREFERRED QUALIFICATIONS:
- One (1) year experience with Epic
- Three (3) to five (5) years’ experience with physician billing
Disclaimer: This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluations, and for establishing performance standards. The percentages of time spent performing job duties are estimates, and should not be considered absolute. The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole. Incumbent must be able to perform all job functions safely.
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PENN MEDICINE LANCASTER GENERAL HEALTH offers the following benefits to employees:
- 100% Tuition Assistance at The Pennsylvania College of Health Sciences
- Paid Time Off and Paid Holidays
- Shift, Weekend and On-Call Differentials
- Health, Dental and Vision Coverage
- Short-Term and Long-Term Disability
- Retirement Savings Account with Company Matching
- Child Care Subsidies
- Onsite Gym and Fitness Classes
Disclaimer
PENN MEDICINE LANCASTER GENERAL HEALTH is an Equal Opportunity Employer, committed to hiring a diverse workforce. All openings will be filled based on qualifications without regard to race, color, sex, sexual orientation, gender identity, national origin, marital status, veteran status, disability, age, religion or any other classification protected by law.
Search Firm Representatives please read carefully: PENN MEDICINE LANCASTER GENERAL HEALTH is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, all resumes submitted by search firms to any employee at PENN MEDICINE LANCASTER GENERAL HEALTH via-email, the Internet or directly to hiring managers at Penn Medicine Lancaster General Health in any form without a valid written search agreement in place for that position will be deemed the sole property of PENN MEDICINE LANCASTER GENERAL HEALTH, and no fee will be paid in the event the candidate is hired by PENN MEDICINE LANCASTER GENERAL HEALTH as a result of the referral or through other means.