认证医疗编码员摘要员
Certified Medical Coder Abstractionist
SHIFT:
日班(美国)寻找突破者
费城儿童医院(CHOP)提供了无数种改变生命的方式。我们由超过20,000名突破者组成的多元化团队将激励你追求热情、发展专业技能并推动创新。
在CHOP,你的体验受到重视;你的声音被听到;你的贡献将为患者和家庭带来改变。加入我们,共同实现我们提升儿科医疗水平的承诺——以及你的职业发展。
CHOP在任何雇佣、培训或供应商决策或项目中,均不基于种族、肤色、性别、国籍、宗教或其他受法律保护的类别进行歧视。CHOP认识到多元化背景和经验的员工队伍至关重要,并通过多样化且无歧视的方式持续努力实现这一目标。
简要概述
该职位负责审查医疗记录文档,包括手术报告并分配适当的CPT和ICD-10代码。该职位还负责及时提交费用或对编码服务进行数据录入。
你将负责
- 系统地审查和分析患者医疗记录,以确定所有适当的诊断和实施的程序,并为医生计费生成编码摘要。
- 按照部门的生产率和准确度标准,提交编码服务用于计费,或对编码服务进行数据录入以便提交索赔。
- 审查住院数据并核对可计费的服务,包括审查系统处理情况,适当升级并及时沟通错误和遗漏以及临床文档不足的情况。
- 审查和解决影响索赔提交的编码相关编辑和错误。
- 保持对CPT、ICD-10 CMS以及CHOP合规性要求的全面了解,适用于所有医生提供的服务。
教育资格
- 需要高中文凭/GED
- 有副学士学位优先
经验资格
- 至少一年编码经验,必需
- 至少两年编码经验,优先
技能与能力
- 精通专业编码。
- 精通ICD10、第三方程序以及关于福利结构、保险验证、转诊和授权的要求。
- 精通一般财务咨询知识
查看英文原文
SHIFT:
Day (United States of America)Seeking Breakthrough Makers
Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.
At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career.
CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means.
A Brief Overview
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.
What you will do
- 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.
Education Qualifications
- High School Diploma / GED Required
- Associate's Degree Preferred
Experience Qualifications
- At least one (1) year coding experience Required
- At least two (2) years coding experience Preferred
Skills and Abilities
- 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 or
- Certified Professional Coder Apprentice (CPC-A) - American Academy of Professional Coders (AAPC) - upon hire - Required or
- Certified Outpatient Coder (CPC-H) - American Academy of Professional Coders (AAPC) - upon hire - Required or
- Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - upon hire - Required or
- Certified Coding Specialist-Physician-Based (CCS-P) - American Health Information Management Association (AHIMA) - upon hire - Required
To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, professionals working onsite - at any CHOP location, for any portion of time - must be vaccinated for COVID-19. Learn more.
EEO / VEVRAA Federal Contractor | Tobacco Statement
SALARY RANGE:
$27.35 - $34.19 HourlySalary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.
At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.
Originally posted on Himalayas