Explore 3 coder jobs from 2 hiring companies in Plains, PA, US. Filter by remote, salary, experience, and company, then open any listing to apply.

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Coder Jobs

St. Luke's University Health Network

Wayne Memorial Health System

Onsite

Remote

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	<div><a>Description</a> </div>
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		Full-time - This is not a remote position.Evaluates medical records, provides clinical abstracts and assigns appropriate clinical diagnosis and procedure codes for both inpatient and outpatient services in accordance with nationally recognized coding guidelines.  Meets quality standards of having 95% of principal diagnoses and procedures correctly coded.  Serves as a liaison between clinicians and the coding staff.  Collaborates with all members of the revenue cycle to ensure data quality and optimum reimbursement allowable under the federal and state payment systems.  Supervises the coding department in relation to the following: distribution of work assignments, dissemination of current coding guidelines and modern technology information, and provides relevant coding education to the coders, clinicians, and revenue cycle staff.
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	<div><a>Minimum Requirements</a> </div>
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		 <ul><li>Knowledge and understanding of ICD10 and CPT coding principles as recommended by the American Health Information Management Association coding competencies.</li><li>One or more years of experience providing coding services for a broad range of hospital and acute care facilities.</li><li>Must be able to achieve an acceptable accuracy rate on the coding audits administered by the hiring facility according to pre-established company standards.</li><li>Minimum of successful completion of a coding certificate program in a program with AHIMA approval status.  RHIT or CCS preferred.</li><li>Prior hospital coding experience required.</li><li>Meditech experience preferred; 3M Coding and Reimbursement experience required.</li><li>Extensive knowledge of medical records principles and practices, anatomy, physiology, pathology, medical terminology, standard nomenclature, and classification of diagnoses and operations.</li></ul>
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Lead Coder

ICD-10/CPT coding, AHIMA competencies, 1+ year hospital coding, AHIMA-approved certificate, RHIT/CCS preferred.

<h3>St. Luke&#39;s is proud of the skills, experience and compassion of its employees. The employees of St. Luke&#39;s are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient&#39;s ability to pay for health care.</h3>     The Physician Coder codes and abstracts physician services performed in the hospital setting according to AHA, AMA, guidelines and CMS directives. Must assure data quality through quarterly reviews. Performs data entry of physician services statistics into specialty-specific databases. Works with Medical Records, Finance, and Physician Billing to ensure appropriate flow of information.JOB DUTIES AND RESPONSIBILITIES:<ul><li>Codes and abstracts professional fee hospital services performed by SLPG  physicians  from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.  Utilizes 3M Encoder for validation of RVUs and CPT-4 procedure unbundling.</li><li>Maintains a 95% coding accuracy rate as measured through quality reviews.</li><li>Maintains daily productivity as outlined</li><li>Responsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E &amp; M services.</li><li>Performs data entry of abstracted physician information into specialty- specific databases.</li><li>Conducts educational sessions to the medical staff for coding and documentation compliance.</li></ul>PHYSICAL AND SENSORY REQUIREMENTS: Sitting for up to seven hours per day, three- four at a time.  Frequently uses fingers for typing, data entry, etc.  Frequent  use of hands.  Use of  upper extremities to rarely lift up to ten pounds.  Rarely stoops, bends, or reaches above shoulder level.  Hearing as it relates to normal conversation.  Seeing as it relates to general vision, near vision, peripheral vision and visual monotony.EDUCATION:RHIA, RHIT, CPC, OR CCS-P with working knowledge of ICD-9/ICD-10, CPT and HCPCS coding required.TRAINING AND EXPERIENCE: Minimum 1-3 years experience in CPT/HCPCS physician procedural coding.  Previous experience with computerized patient record and coding system preferred.Please complete your application using your full legal name and current home address.  Be sure to include employment history for the past seven (7) years, including your present employer.  Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable.  It is highly recommended that you create a profile at the conclusion of submitting your first application.  Thank you for your interest in St. Luke&#39;s!!<h2></h2><h2><a target="_blank" href="http://www.slhn.org/EOE">St. Luke&#39;s University Health Network is an</a><a target="_blank" href="http://www.slhn.org/EOE"> Equal Opportunity Employer.</a></h2>

Emergency Department Medical Coder (Remote PA/NJ)

Emergency Department Medical Coder

RHIA/RHIT/CPC/CCS-P or equivalent; 1-3 years CPT/HCPCS coding; ICD-9/ICD-10 knowledge; data entry; collaboration with medical staff.

<h3>St. Luke&#39;s is proud of the skills, experience and compassion of its employees. The employees of St. Luke&#39;s are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient&#39;s ability to pay for health care.</h3>     The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network. Utilizes provider documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim review process.JOB DUTIES AND RESPONSIBILITIES:<ul><li>Maintain current knowledge of coding, compliance, and documentation guidelines</li><li>Resolve Charge Review and Claim Edit CCI/LCD edits, diagnosis coding errors and MUE frequency for clean claim submission</li><li>Resolve coding denials through claim correction or appeal.  Claim corrections will be made after review of supporting documentation, CCI/LCD, carrier policy and utilization of coding software applications.  The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/Educator.  Demonstrate the ability to formulate an appeal rationale based on clinical documentation, application of LCD, relative carrier policy and published Academy or Societal guidance</li><li>Provide coding guidance to providers and charge entry staff for single or low volume errors.  Report high volume coding denial trends to the coordinator</li><li>Maintain meticulous documentation, spreadsheets, account, and claim examples of root cause issues.  Performs searches of governmental, payor-specific, guidelines to identify and coding and billing requirements to make recommendations</li><li>Review TCM Charge Review encounters to verify the documentation supports all required TCM components.  Relevel TCM service when not supported by the documentation or TCM has been rendered during another TCM 30-day period</li><li>Attends coding conferences, workshops, and in house sessions to receive updated coding information and changes in coding and/or regulations</li><li>Assists with training new staff in all aspects of the Analyst role.</li></ul>PHYSICAL AND SENSORY REQUIREMENTS:Sitting for up to 8 hours per day, 3 hours at a time.  Standing and walking as necessary.  Fingering and handling frequently, twisting and turning of hands occasionally.  Pushing and pulling.  Occasionally stoops, bends, squats, kneels and reach above shoulder level.  Hearing as it relates to normal conversation.  Seeing as it relates to general and near vision.EDUCATION:CPC or CCA certification required.TRAINING AND EXPERIENCE:At least 2 years of active E&amp;M and/or Surgical Coding experience required. Must possess a comprehensive knowledge of ICD-10-CM, CPT and HCPCS coding.  Knowledge and experience in dealing with third party insurance companies relative to claim processing and coding denials follow up.  Epic Resolute experience helpfulPlease complete your application using your full legal name and current home address.  Be sure to include employment history for the past seven (7) years, including your present employer.  Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable.  It is highly recommended that you create a profile at the conclusion of submitting your first application.  Thank you for your interest in St. Luke&#39;s!!<h2></h2><h2><a target="_blank" href="http://www.slhn.org/EOE">St. Luke&#39;s University Health Network is an</a><a target="_blank" href="http://www.slhn.org/EOE"> Equal Opportunity Employer.</a></h2>

Claims and Denial Coding Analyst

Certified Medical Coder with CPC or CCA; 2+ years E&M and/or Surgical Coding; ICD-10-CM, CPT, HCPCS knowledge; experience with payors; Epic Resolute helpful.

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Coder Jobs in Plains, PA, US

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