Apply on Employer Site

Penn Medicine, University of Pennsylvania Health System · 2 months ago

Health Information Management Coder

Philadelphia, PA

Full-time

Onsite

Entry, Mid Level

Penn Medicine is dedicated to providing the highest level of care to patients and conducting innovative research. The Health Information Management Coder is responsible for coding and abstracting medical records accurately to ensure optimal reimbursement and compliance with guidelines.

BiotechnologyEducationHealth CareMedicalTraining

Responsibilities

Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, co-morbidities and complications demonstrating 95% accuracy as determined by audits

Sequences the diagnoses & procedures to obtain the optimal DRG or APR-DRG assignment and demonstrates 95% accuracy as determined by monthly audits

Simultaneously abstracts and enters all coded information into EPIC for timely billing. This includes the correct discharge disposition verified through the CRM notes available in PennChart

Demonstrates a consistent level of performance; strives to maintain a steady level of productivity according to the following guidelines:

HUP - Average of 7.5-11.5 inpatient records coded daily

PPMC - Average of 7.5-11.5 inpatient records coded daily

PAH/CCH - Average of 15 inpatient med/surg charts coded daily

Refers charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician for the needed documentation

Promptly and accurately assigns Coding Hold reasons to all records that cannot be completed immediately due to:

Missing Operative Notes

Missing Pathology Report

Physician Query Needed

Death Review

Discharge Disposition

Missing Other Reports (Card Cath, EPS, etc)

Correctly identifies and applies Present on Admission indicators to all applicable diagnoses according to designated guidelines. Accuracy is important due to the far reaching impact on reimbursement and quality metrics

Consistently codes the oldest cases first and prioritizes high dollar cases over 4 days old first

Is willing to adjust schedule to complete workload and meet pivotal revenue cycle deadlines when requested by management. Cooperates with departmental work volumes by adjusting work schedule

Strives to become fluent in the inpatient coding at all of the UPHS facilities

Responsible for continuing education both inside and outside the organization along with tracking Continuing Education credits to maintain professional credentials

Performs duties in accordance with Penn Medicine and entity values, policies, and procedures

Other duties as assigned to support the unit, department, entity, and health system organization

Qualification

ICD-10-CMICD-10-PCSCertified Coding SpecialistMedical terminologyHuman anatomyClinical disease processesPrioritize tasksEncodersHealth Information Management

Required

H.S. Diploma/GED

Previous work experience or training in coding inpatient medical records

Extensive knowledge of medical terminology, human anatomy and physiology, and clinical disease processes

Extensive knowledge of ICD-10-CM and ICD-10-PCS

Ability to assess, prioritize and complete multiple tasks in a stressful environment

Preferred

Certified Coding Specialist - CCS

Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT)

Familiarity with computerized encoders

Bachelor's Degree in Health Information Management or related field

Benefits

Comprehensive compensation and benefits program

One of the finest prepaid tuition assistance programs in the region

Company

Penn Medicine, University of Pennsylvania Health System

Glassdoor3.9

Penn Medicine is a world leader in academic medicine, setting the standard for cutting-edge research, compassionate patient care, and the education of future health care professionals.

Founded in 1765