Work Schedule:Days Mon.-Fri. work week, no weekends or holidays
Work Type: Full Time
Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form such as ICD-9-CM, ICD-9-PCS, ICD–10-CM, ICD-10-PCS, HCPC Level II and CPT procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures.
Performed by specially trained professionals, medical coding provides information for billing and reimbursement, gathering statistics, reporting and marketing. Follows established hospital and professional coding guidelines and utilizes Coding clinic, CCI, CPT Assistant, Computer Assisted Coding Technologies and other resources to ensure compliance with national and federal coding guidelines.
As a group, this position will be responsible to code all services provided at GHS to ensure accurate reimbursement and contribute to the overall fiscal health of the organization.
Reports to Coding Quality/Professional Manager and Revenue Management Senior Leadership.
Competencies and Skills:
Demonstrates competency in the use of computer applications including DRG Grouper Software, Siemens, IDX, software related Medicare edits, and all coding and abstracting software/hardware currently in use by Hospital and Professional Coding Operations.
Demonstrates updated skills required for the ICD-10-CM and ICD-10-PCS coding system
Demonstrates advanced skills in extracting and analyzing clinical documentation.
Demonstrates superior knowledge of anatomy and physiology along with disease pathophysiology.
Thorough understanding and application of new and expanded coding guidelines for both ICD-10-CM and ICD-10-PCS.
Demonstrates accurate assignment of procedural codes in the complex ICD-10-PCS code set.
Demonstrates accurate assignment of CPT 4 procedural codes and HCPC Level II code sets.
Demonstrates excellent interpersonal skills to develop relationships necessary to influence physician documentation process.
Demonstrates analytic skills necessary to clinically assess medical records.
Demonstrates excellent prioritization and organizational skills.
Demonstrates proven analytical ability.
Demonstrates ability to work with minimal supervision at a high level of accuracy and productivity.
Demonstrates ability to communicate both verbally and in writing in a highly professional manner.
Demonstrates ability to be punctual and maintain an excellent attendance record.
Demonstrates ability to be articulate, mature, and highly organized.
Demonstrates ability have close attention to detail viewing a computer monitor, reading reports in electronic format, and reading physician handwriting.
Demonstrates ability to meet deadlines and function under pressure.
3. Minimum of three (3) years’ as a Coder 1 with successful completion of our proficiency assessment with a require accuracy rate of 97%.
In lieu of the above, will consider:
1. RHIT or RHIA eligible (Hospital certification), with a minimum two (2) years’ experience in either hospital or professional coding required.
2. BS in a Health Care related field with a minimum two (2) years’ experience in either hospital or professional coding setting required.
Must be able to demonstrate progress toward a core competency analysis prior to final hiring process.
Intermediate knowledge of ICD-10-CM, ICD-10-PCS and CPT-4 coding principles, medical terminology, anatomy and physiology, disease processes, and Coding Clinic guidelines required (these will be tested prior to hiring and at least quarterly).
Knowledge of CMS, Medicaid and third party payer coding, billing and compliance regulations preferred.
Prior experience with and/or use of an encoder preferred.
Working Conditions/Physical Demands:
Work is typically performed in an office environment.
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
ABOUT GEISINGER: Geisinger is a physician-led health system comprised of approximately 30,000 employees, including nearly 1,600 employed physicians, 13 hospital campuses, two research centers, and a 583,000-member health plan Geisinger is nationally recognized for innovative practices and quality care. Geisinger serves more than 3 million people in central, south-central and northeast Pennsylvania and also in southern New Jersey with the addition of National Malcolm Baldridge Award recipient AtlantiCare, A member of Geisinger. In 2017, the Geisinger Commonwealth School of Medicine became the newest member of the Geisinger Family.
We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.
** Does not qualify for J-1 waiver. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
*Domestic partner benefits not applicable at Geisinger Holy Spirit.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh Food
Farmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencing
programs, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.
Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers.
What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.