Senior Certified Coder

007294

Abstract clinical information from Electonic Medical Record surgical reports and outpatient medical records, and assign appropriate ICD-10and CPT codes.Educating physicians on compliance and correct coding and processing charges,review coding related denials.

ESSENTIAL FUNCTIONS:

• Interacts with co-workers, visitors, and other staff consistent with the Jefferson iSCORE values
• Educates new faculty members on the coding basics, as well as all university/department compliance policies
• Completes all accounts receivable and claims manager edits.
• Assists patients with billing and insurance related questions.
• Conducts internal chart audits to ensure compliance with CPT-4 and ICD-10 coding guidelines and determines where additional physician documentation and/or signatures are required.
• Ensures billing compliance with third party payor requirements and regulations.

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Minimum 3 yearsrsquo; experience of Medical Billing and Coding in a physician practice,preferably OB/GYN

Thorough knowledge of medical coding guidelines and regulations including compliance and reimbursement requirements set forth by the Centers for Medicare amp; Medicaid Services.

Working knowledge of medical necessity evaluation claims denials, bundling issues and charge capture.

Knowledge of anatomy, physiology and medical terminology

Knowledge of third party billing and payment requirement,as well as requirements of managed care plans.

Jefferson includes Thomas Jefferson University and Jefferson Health, a dynamic university and health system with broad reach across the Delaware Valley. Jefferson is the second largest employer in Philadelphia and the largest health system in Philadelphia based on total licensed beds.

Through the merger of Thomas Jefferson University and Philadelphia University in 2017, our University includes ten colleges and four schools. We are an NCAA Division II university and an R2 national doctoral university offering undergraduate and graduate-level programs that provide students with a forward-thinking education in architecture, business, design, engineering, fashion and textiles, health, medicine and social science.

Jefferson Health, the clinical arm of Thomas Jefferson University, has grown from a three-hospital academic health center in 2015, to an 18-hospital health system through mergers and combinations that include hospitals at Abington Health, Aria Health, Kennedy Health, Magee Rehabilitation and Einstein Healthcare Network. We have over 50 outpatient and urgent care centers; ten Magnetreg;-designated hospitals (recognized by the ANCC for nursing excellence); the NCI-designated Sidney Kimmel Cancer Center (one of only 70 in the country and one of only two in the region); and one of the largest faculty-based telehealth networks in the country. In 2021, Jefferson Health became the sole owner of HealthPartners Plan, a not-for-profit health maintenance organization in Southeastern Pennsylvania. We are the first health system regionally to create an aligned payer-provider partnership.

Jeffersonrsquo;s mission, vision and values create an organization that attracts the best and the brightest students, faculty, staff, and healthcare professionals, as well as the most visionary leaders to drive exceptional results.

• OUR MISSION: We improve lives.
• OUR VISION: Reimagining health, education and discovery to create unparalleled value
• OUR VALUES: Put People First, Be Bold amp; Think Differently and Do the Right Thing

As an employer, Jeffersonmaintains a commitment to provide equal access to employment. Jefferson values diversity and encourages applications from women, members of minority groups, LGBTQ individuals, disabled individuals, and veterans.