Senior Medical Abstractionist - Division of Ophthalmology

SHIFT:

Day (United States of America)

Seeking Breakthrough Makers

Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career.

CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means.

A Brief Overview

This role will be responsible for reviewing medical record documentation including procedure reports and assigning appropriate CPT and ICD-9 codes. Monitors changes in coding procedures and assisting in training staff. Reviews complex (problematic coding that needs research) medical records and communicating findings with coders and management. May also collaborate on internal QA and coding reviews when required.

What You Will Do

• The Sr. Abstractionist will also be responsible for:
• Systematically review and analyze patient medical records to determine all appropriate diagnosis and procedures performed, and to produce coded abstract for physician billing.
• Submission of coded services for billing and or data entry of the coded services for claim submission in accordance with departmental productivity and accuracy standards.
• Review of inpatient data and reconciliation of billable services including, review of system processing and appropriate communication and escalation to management any errors and omissions.
• Review and resolution of coding related edits and errors that impact claim submission.
• Maintaining thorough knowledge of coding and documentation and abides by requirements and official guidelines outlined by CPT, ICD-9, CMS and CHOP Compliance for all physician services abstracted
  
  

Education Qualifications

• High School Diploma / GED Required
• Associate's Degree Preferred
  
  

Experience Qualifications

• At least five (5) years of coding experience Required
• At least three (3) years of experience in a clinical environment Preferred
  
  

Skills and Abilities

• Strong computer, administrative, and organizational skills (written and verbal)
  
  

Licenses and Certifications

• Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) - upon hire - Required or
• Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - upon hire - Required or
• Certified Coding Specialist-Physician-Based (CCS-P) - American Health Information Management Association (AHIMA) - upon hire - Required
  
  

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more.

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SALARY RANGE:

$29.50 - $37.61 Hourly

Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.

At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.