SummaryJob Description POSITION SUMMARY: Codes and abstracts information from inpatient and outpatient records by careful analysis and adherence to official coding guidelines assuring appropriate reimbursement, compliance with regulations, and accuracy for clinical care analysis and provider profiling. HOURS: 32 hours/week with a combination of 4 days per week during M-F schedule. Day shift. No weekends, no evenings, no holidays.
ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:
- Performs daily charge entry of procedures performed in department.
- Reviews audit report assuring that all corrections are being processed appropriately.
- Performs record review to assure accurate coding and billing of charges.
- Monitors charge entry reports on a daily basis to ensure that there are no discrepancies between documentation and charges entered.
- Researches rejected claims, revises coding discrepancies, provides additional information, and generates rebilling as appropriate.
- Processes and files all device tracking information for both receipts and returns.
- Maintains current knowledge of coding and payment processing.
- Evaluates ongoing compliance of charge master on an annual basis with regulatory and coding guidelines and makes recommendations for changes or updates.
SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:
- Assists Patient Financial Services and physician offices with coding related issues.
- Assists with filing, data entry or other clerical duties when necessary.
- Other duties as assigned.
JOB REQUIREMENTS MINIMUM REQUIRED QUALIFICATIONS: High school diploma or equivalent (GED). One (1) year experience in computer skills, office management, word processing. Knowledge of Professional CPT and ICD Coding.
PREFERRED QUALIFICATIONS: Associate degree in a related field. Three (3) years' experience in medical billing, coding, insurance, receivables, billables. One (1) year of CPT-4 coding.
COGNITIVE REQUIREMENTS Attention/Concentration: The position requires the ability to attend to more than one aspect of a situation simultaneously. It is highly likely that multiple task demands are going to be required of the individual at the same time.
New Learning and Memory: The position requires that an individual be able to learn new tasks quickly and effectively. Job requirements change frequently. The ability to understand and carry out detailed, involved instructions in mandatory.
Problem Solving, Reasoning and Creative Thinking: The position required much autonomy of thought and problem solving. The individual must be able to apply principles of logical or scientific thinking to define problems. The individual must be able to think abstractly, which is manifested in the ability to form concepts, use categories, generalize from single instances, apply procedural rules and general principles, and be aware of subtle or intrinsic aspects of a problem. The development of hypothesis and potential solutions to problems involves careful interpretation, analysis and diagnosis. The individual must be able to collect data, establish facts, and draw valid conclusions. The individual must be able to think creatively with a degree of inventiveness, experimentation and intuition. They must be able to deal with a variety of concrete and abstract variables.
APTITUDES: The following are essential requirements of the position in relation to job-worker situations. These items describe how a worker must adapt, adjust, conform or act:
Repetitive work: Ability to continuously perform the same type of work for extended periods of time, according to set procedures, sequence or pace.
Variety and change: Ability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure involving significant differences in technologies, techniques, procedures, environmental factors, physical demands, or work situations.
Working within tolerances, set limits or standards: Ability to adapt to situations requiring the precise attainment of set limits, tolerances, or standards; to be precise, thorough, exacting, or meticulous in regard to material worked; or in activities such as numerical determinations, record preparation, or inspecting.
Communication: Ability to exchange information with others clearly and concisely; to present ideas, facts and technical information.
Interpersonal relations: Ability to maintain relationships that facilitate task accomplishment; to cooperate and resolve conflicts; to recognize needs and be sensitive of others.
EQUIPMENT USAGE REQUIREMENTS Equipment/Tools: Computer, Phone, Copier, Printer, Fax, Office Supplies
Software: Microsoft Office Products, clinical information system, dept specific software
PHYSICAL REQUIREMENTS Rarely 0-10%; Occasionally 11-35%; Frequently 36-70%; Continuously 71-100% Body Position/Movement: - Sit: Continuously
- Stand: Occasionally
- Walk: Frequently
- Bend: Seldom
- Push: Seldom
- Pull: Seldom
- Kneel/Squat: Seldom
- Reach: Occasionally
- Twist: Seldom
- Balance: Seldom
- Climb: Seldom
Lifting: Degree of physical exertion is
: Light, exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to move objects.
Sensory Abilities specifically required: - Vision
- Hearing
- Touch/Feeling
PHYSICAL ENVIRONMENT WORKING CONDITIONS: Position involves exposure to the following harmful elements:
- Bio hazardous Waste
- Blood borne Pathogens
- Chemicals
- Moving/Rotating Machinery
Disclaimer: This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluations, and for establishing performance standards. The percentages of time spent performing job duties are estimates, and should not be considered absolute. The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole. Incumbent must be able to perform all job functions safely.
Benefits At A Glance: PENN MEDICINE LANCASTER GENERAL HEALTH offers the following benefits to employees:
- 100% Tuition Assistance at The Pennsylvania College of Health Sciences
- Paid Time Off and Paid Holidays
- Shift, Weekend and On-Call Differentials
- Health, Dental and Vision Coverage
- Short-Term and Long-Term Disability
- Retirement Savings Account with Company Matching
- Child Care Subsidies
- Onsite Gym and Fitness Classes
Disclaimer PENN MEDICINE LANCASTER GENERAL HEALTHis an Equal Opportunity Employer, committed to hiring a diverse workforce. All openings will be filled based on qualifications without regard to race, color, sex, sexual orientation, gender identity, national origin, marital status, veteran status, disability, age, religion or any other classification protected by law. Search Firm Representatives please read carefully: PENN MEDICINE LANCASTER GENERAL HEALTHis not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, all resumes submitted by search firms to any employee at PENN MEDICINE LANCASTER GENERAL HEALTHvia-email, the Internet or directly to hiring managers at Penn Medicine Lancaster General Health in any form without a valid written search agreement in place for that position will be deemed the sole property of PENN MEDICINE LANCASTER GENERAL HEALTH, and no fee will be paid in the event the candidate is hired by PENN MEDICINE LANCASTER GENERAL HEALTHas a result of the referral or through other means.