Join our Talent Network
Skip to main content
   Current UPHS employees must apply HERE

HIM Inpatient Coding Specialist III

Job ID: 200307
Category: Health Information Management/Coding
Work Type: FT
Location: Philadelphia, PA, United States
Work Schedule: M-F, 8-hour day shift | Remote

Save Job Saved

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

Corporate Services/ Health Information Management

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. 

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 monthly audits. 
  • Simultaneously abstracts and enters all coded information into the Pennchart/EPIC system for timely billing. This includes the correct discharge disposition verified through the Case Management Department Consistently codes the oldest cases first and prioritizes high dollar cases over 4 days old first. 
  • 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 in an equitable manner.
  • Performs inpatient 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 of Arts or Science in Health Information or Related field (Preferred).

Skills & Abilities: 

  • Extensive knowledge of medical terminology, human anatomy and physiology, and clinical disease processes.
  • Extensive knowledge of ICD-9-CM and CPT-4 classification systems.
  • Ability to assess, prioritize and complete multiple tasks in a stressful environment.

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.

   Current UPHS employees must apply HERE
Share: mail

Similar Jobs