Remote Risk Adjustment Coder Jobs in Pennsylvania

Job Details

The Lead Inpatient Coder

Job Description

Summary
The Lead Inpatient Coder is a Health Information Management Professional possessing significant prior coding experience and a high level of coding proficiency, responsible for the assisting manangement with daily coding activities, department priorities and initiatives, precepting new staff, suggesting workflow enhancements, resolving billing edits and testing EHR updates. The Lead Inpatient Coder is also responsible for collaborating with the Coding staff, CDI and Quality Reviewers to facilitate accurate coding and timely completion.Serves as source for the following: coding questions, remote onboarding training, education, quality & productivity guidelines and workflowsServes as a lead with other ancillary departments as directed to resolve coding / operations issues
Job Duties

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson
• Performs ICD-10-CM /CPT coding and data abstraction within minimum established accuracy and productivity rates.
• Acts as a lead contact and resource for coding staff related to coding questions and workflow assistance
• Acts as a lead contact for coding related questions and issues from other Hospital departments specifically CDI and Business Services
• Serves as a resource for coding staff for coding and workflow questions, and precepts new staff for onboarding
• Attends mandatory staff education and department meetings. Facilitate coding completion to met departmental KPIs and goals. Refers coding issues to supervisor in a timely manner for determination and guideline development

Minimum Qualifications

• 10 years coding inpatient medical records.
• Problem Solving Knowledge of approaches, tools, techniques for recognizing, anticipating, and resolving organizational, operational or process problems, ability to apply this knowledge appropriately to diverse situations.
• Analytical Thinking Knowledge of techniques and tools that promote effective analysis and the ability to determine the root cause of organizational problems and create alternative solutions that resolve the problems in the best interest of the business.
• Effective Communications Understanding of effective communication concepts, tools and techniques, ability to effectively transmit, receive, and accurately interpret ideas, information, and needs through the application of appropriate communication behaviors.
• Medical Information Coding Knowledge and ability to translate verbal and written descriptions of diseases, injuries and medical procedures to standard diagnosis and procedure codes used in healthcare reimbursement, assessment of clinical care, medical research, and public healthcar
• Industry Knowledge Knowledge of the organization's industry group, trends, directions, major issues, regulatory considerations, and trendsetters, ability to apply this knowledge appropriately to diverse situations.
• Initiative Understanding of the value of self-motivation and initiative, ability and willingness to seek out work and the drive to accomplish goals.
• Health Information Concepts & Terminology Knowledge and understanding of health information concepts and terminology to include anatomy, physiology, medical disciplines and diagnoses/procedures/treatments, health information legal/data standards, statistics, data/quality management and computer s
• RHIA - Registered Health Information Administrator - American Health Information Management Association or
• RHIT - Registered Health Information Technician - American Health Information Management Association or
• CPC - Certified Professional Coder - American Academy of Professional Coders or
• CCS - Certified Coding Specialist - American Health Information Management Association

Preferred Qualifications

• Bachelor's Degree in Health Information Management, Nursing, Business Administration, Heath Administration or related field

Additional Qualifications

Physical Demands
Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.
Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Thomas Jefferson University

Primary Location Address

1015 Chestnut Street, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time(including per diemcolleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

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