Apply on Employer Site

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

Ambulatory Coding and Doc Specialist

Bala-Cynwyd, PA

Full-time

Onsite

Mid Level

Penn Medicine is dedicated to providing the highest level of care to patients and conducting innovative research. The Ambulatory Coding and Documentation Specialist is responsible for improving the accuracy of coding, compliance, and clinical documentation, ensuring appropriate coding through detailed analysis of outpatient medical records.

BiotechnologyEducationHealth CareMedicalTraining

Responsibilities

Review and interpret patient medical record documentation (progress notes, operative reports, discharge summaries, charge documents) to determine services provided and identify pertinent diagnoses and procedures

Assigns ICD-10-CM, ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory clinic visit records

Maintain current knowledge of coding guidelines, reimbursement reporting requirements; educate staff and physicians in accurate data collection to ensure efficient and timely claim submission

Review secured authorizations and pre-billed claims as needed to ensure they adequately reflect the procedures preformed

In partnership with coding colleagues, educate provider community through independent audit analysis to ensure knowledge and understanding of correct coding and documentation policies and procedures

Identify payor related issues and report to management team

Work in coordination with other members of the Physicians' Billing & Compliance Office as necessary

Recommend new approaches, policies, and procedures to influence continuous improvements in department's efficiency and services performed

Take ownership of special projects and follow through with detailed action plans

Assure consistent quality and cost effectiveness of daily operations through coordination with physicians, patients, process assessment, and review of financial reports generated EPIC

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

CPC certificationCCS certificationICD-10-CM codingCPT codingBachelor's Degree in HIMAmbulatory coding experienceCommunication skillsTeam collaborationProblem-solving skills

Required

Bachelor's Degree HIM, healthcare, or related field (Required)

Relevant coding medical professional services experience including ambulatory outpatient and risk adjustment coding (Required)

CCS or Certified Procedural Coder - CPC (AAPC) (Required)

Preferred

CRC (Preferred)

Benefits

Prepaid tuition assistance programs

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