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Geisinger · 1 day ago

Coder Senior

Danville, PA

Full-time

Onsite

Senior Level

7+ years exp

Geisinger is a healthcare organization focused on patient care and community well-being. The Coder Senior is responsible for transforming verbal descriptions of diseases and procedures into coded formats for reimbursement purposes, ensuring accurate documentation and coding practices.

Health CareHospitalMedical

Responsibilities

Reviews the content of the medical record for hospital and professional inpatient or outpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient severity and comply with standard provider coding regulations

Carefully details review of documents such as laboratory findings, radiology reports, various scan reports, discharge summary, history and physical, consultations, orders, progress notes and other ancillary services treatment records needed to ensure all pertinent diagnoses and procedures are recorded

Translates all diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes as required

Using the Encoder software program, determines the codes for all diagnoses and procedures

Determines their sequencing to legally maximize reimbursement

Assigns the appropriate DRG

Assigns codes based on hospital and professional coding guidelines, Coding Clinic directives, federal regulations, CCI coding initiatives, CPT Assistant or other standard coding guidelines

Queries physicians as needed to clarify documentation within the patient’s record to facilitate complete and accurate coding

Communicates to Coding Quality and Professional Manager any new diagnoses, procedures, technologies, etc

Documented within patient records to ensure that appropriate diagnosis and procedure codes are selected and incorporated into hospital and professional coding guidelines

Provides and arranges training for coding professionals in the use of coding guidelines and practices, proper documentation techniques, medical terminology, and disease processes

Completes coding quality audit reviews to ensure all available cases were coded and entered into the hospital and professional computer system correctly and initiates Claim Action Reports as necessary

Develops coding policy and procedure or position papers related to correct coding for new or emerging technology services provided by clinical staff, and train coders on the use of that policy and procedure

Qualification

Certified Professional Coder (CPC)Certified Risk Adjustment Coder (CRC)Registered Health Information Technician (RHIT)Certified Coding Specialist (CCS)Encoder software proficiencyMedical terminologyDisease processesTraining skillsCommunication skills

Required

High School Diploma or Equivalent (GED) - (Required)

Minimum of 7 years - Relevant experience (Required)

Minimum Of One Of The Following Certifications Is Required: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Risk Adjustment Coder (CRC) - American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA)

Benefits

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.

Company

Geisinger

Glassdoor3.5

Geisinger is a health and wellness organization that offers orthopaedic, weight-management, and heart care services. It is a sub-organization of Risant Health.

Founded in 1915

Danville, Pennsylvania, USA

10001+ employees