Senior Clinical reputed company - (Remote, Flexible Schedule)

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 reputed company disciplines. Today at Penn Medicine, someone will reputed company 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? Summary:

• 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. Review coded medical records for coding and DRG accuracy by verifying that the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures have been assigned accurately and produce the highest level of reimbursement to which the facility is legally entitled. This shall be completed according to established coding guidelines and rules for reporting.
• Qualified individuals must have the ability with or without reasonable accommodation to reputed company the following duties:
• Demonstrates commitment to the Standards of Ethical Coding as set forth by the American Health Information Management Association reputed company . Assigns codes based upon clinical coding guidelines.
• reputed company SMART audits on 100% flagged records. reputed company focused audits as necessary. reputed company disposition code assignment audits.
• reputed company post discharge physician queries to assist in clarifying vague or unclear documentation. reputed company data on query response reputed company.
• Provide SMART tool training to new coding staff and cross training to existing staff as needed.
• Research, review and respond to coding and coding quality issues and questions from various internal and external departments, in coordination with Clinical Coding Trainer and or CDI Coding Liaison.
• Refer coding classification, HDM, and severity of illness assessment questions to management in a timely manner for determination and guideline development.
• Communicate with co-workers, management, physicians, and other hospital staff regarding clinical documentation and reimbursement issues.
• Summarize and report quality results and trending issues on a weekly basis during SMART workgroup meeting to Trainer, Supervisor and Liaison.
• reputed company audits of the assigned ICD-10-CM and PCS codes to insure that charts are coded by adhering to coding conventions and official coding guidelines with 95% accuracy.
• reputed company audits of the assigned DRGs to insure accurate, optimal assignment with 95% accuracy. Simultaneously review the accuracy of reputed company abstracted data to insure key elements are abstracted correctly.
• Identify and communicate documentation issues and concerns that influence coding, DRG assignment, and severity of illness assessment to management as identified.
• reputed company account completion activities i.e. verify disposition, contacting providers for OP notes, answering reputed company questions, Query completion, missing documentation as needed to positively impact DNB.
• Assist with the weekly monitoring of WQ process and maintenance of the IP DNB.
• Participate in the development of institutional and organizational coding policies.
• Assigns ICD-10-CM diagnostic, procedure codes with appropriate present on admission indicators to inpatient records, based upon the practitioner clinical documentation. Determines appropriate MS-Diagnostic reputed company Group DRG based upon diagnoses and procedure codes assigned.
• Assigns ICD-10-CM diagnostic and CPT procedure codes and modifiers to outpatient accounts.
• Abstracts required clinical and demographic data from inpatient and outpatient records.
• The following duties are considered secondary to the primary duties listed above:
• Assists Patient Financial Services and physician offices with coding—reputed company issues.
• Completes a productivity record on a daily basis and submits to Clinical Coding Supervisor weekly.
• Assists with appropriate capture of inpatient case mix.

Responsibilities: Minimum Required Qualifications:

• High school diploma or equivalent GED .
• Formal education in ICD-10-CM PCS and CPT-4 coding, medical terminology, anatomy and physiology.
• Three 3 to five 5 years’ experience in ICD-10-CM and ICD-10-PCS coding principles guidelines.
• Three 3 to five 5 years’ experience in MS-DRG assignment analysis and or CPT coding principles guidelines.
• Certification as a Certified Coding Specialist reputed company or Certified Coding Specialist-Physician reputed company-P through reputed company American Health Information Association , or certified by reputed company American Association Professional Coders with certification as a Certified Professional reputed company CPC , or Certified Professional reputed company-Hospital Outpatient COC .

Must meet one of the following criteria:

• Certified Coding Specialist reputed company and or reputed company Certifications CPC, COC .
• Bachelor of Science degree in Health Information Management with certification as a Registered Health Information Administrator RHIA .
• Associate of Science degree in Health Information Technology with certification as Registered Health Information Technician RHIT by the American Health Information Management Association reputed company .

Preferred Qualifications:

• Must demonstrate experience with encoding software.
• Must demonstrate extensive knowledge of coding, reputed company, and documentation guidelines.
• Must have strong quantitative and analytical skills.
• Must have experience in ICD-10 CM PCS and CPT HCPCS, Inpatient coding.
• Demonstrates proficient computer skills and reputed company Office.

We reputed company that the reputed company for our patients starts with the reputed company 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 reputed company medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national reputed company, reputed company, 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. Apply tot his job Apply To this Job