HIM Inpatient Coding Specialist III Job ID:

247689

Category:

Health Information Management/Coding

Work Type:

FT

Location:

Philadelphia, PA, United States

Work Schedule:

M-F; 8-hour day shift | Remote Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? HIM Inpatient Coding Specialist III This position is based in Philadelphia but is eligible to be performed remotely from within the United States. For remote work outside PA/NJ/DE/MD, employment will be through a third party.

Salary range:

$73,507

• $113,193

Job Summary:

Performs all coding and abstracting for HUP, PPMC and PAH, by reviewing medical records and selecting the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures accurately. Performs analysis of the DRG assigned to produce the highest level of reimbursement to which the facility is legally entitled according to stringent coding and compliance guidelines. Reviews and acts as the gatekeeper for the provider query process, by being the single point of contact with the provider community. Assigns high dollar and death charts to the coding staff in a fair and equitable manner. Performs inpatient SMART reviews adhering to national and facility specific coding guidelines. Assists Coding Managers with other duties, as assigned.

Responsibilities:

Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, co-morbidities and complications demonstrating 96% accuracy as determined by audits. Sequence the diagnoses & procedures to obtain the optimal DRG or APR-DRG assignment and demonstrates 96% accuracy as determined by audits. Simultaneously abstracts and enters all coded information into the HDM/ClinTrac system for timely billing. This includes the correct discharge disposition verified through the CRM system (currently Canopy). Demonstrates a consistent level of performance; strives to maintain a steady level of productivity according to the following guidelines: HUP

• Average of 15 inpatient records coded daily PPMC
• Average of 15 inpatient records coded daily PAH
• Average of 19 inpatient med/surg charts or 22.

5 OB/NB inpatient records 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 Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, co-morbidities and complications demonstrating 96% accuracy as determined by audits. Sequence the diagnoses & procedures to obtain the optimal DRG or APR-DRG assignment and demonstrates 96% accuracy as determined by audits. Simultaneously abstracts and enters all coded information into the HDM/ClinTrac system for timely billing. This includes the correct discharge disposition verified through the CRM system (currently Canopy). Demonstrates a consistent level of performance; strives to maintain a steady level of productivity according to the following guidelines: HUP

• Average of 15 inpatient records coded daily PPMC
• Average of 15 inpatient records coded daily PAH
• Average of 19 inpatient med/surg charts or 22.

5 OB/NB inpatient records 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) 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. 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. Strives to become fluent in the inpatient coding at all of the UPHS facilities. Performs revenue cycle/DNFB activities as needed Reviews and processes provider queries Assigns high dollar and death charts to the coding staff Perform SMART reviews Assists the Coding Manager with other duties as assigned Responsible for continuing education both inside and outside the organization along with tracking Continuing Education credits to maintain professional credentials.

Credentials:

Certified Coding Specialist (Required) RHIA or RHIT (Preferred)

Education or Equivalent Experience:

H.S. Diploma/GED (Required) 2+ years of work experience coding at an inpatient academic medical center (Required) Bachelor's degree in health information management or related field (Preferred)

Skills & Abilities:

Extensive knowledge of medical terminology, human anatomy and physiology, and clinical disease processes required Extensive knowledge of ICD-9-CM and CPT-4 classification systems Ability to assess, prioritize and complete multiple tasks in a stressful environment Familiarity with computerized encoders preferred We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.