Coder Certified JUP Sr

Job Details

Coder Certified JUP Sr

Job Description

PRIMARY FUNCTION:

Abstract clinical information from Electronic Medical Record surgical reports and outpatient medical records, and assign appropriate ICD-10 and 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.
• EDUCATIONAL/TRAINING REQUIREMENTS: High School Diploma or GED required

• CERTIFICATES, LICENSES, AND REGISTRATION: CPC Required through AAPC or CCS through AHIMA. Will consider someone who will obtain certification within six months.

• EXPERIENCE REQUIREMENTS:

  Minimum of one year of coding experience required

  Experience of Medical Billing and Coding in a physician practice.

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

  ADDITIONAL INFORMATION:

  Electronic Charge Entry , IDX, Allscripts, EPIC Experience Preferred

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Primary Location Address

111 S 11th Street, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students.