HIM Inpatient Coding Specialist III

University Of Pennsylvania Health System Philadelphia , PA 19107

Posted 3 months ago

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.

Reviews and acts as the gatekeeper for the provider query process, by being the single point of contact with the provider community. Assigns high dollar and death charts to the coding staff in a fair and equitable manner. Performs inpatient SMART reviews adhering to national and facility specific coding guidelines.

Assists Coding Managers with other duties, as assigned. Accountabilities 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: o HUP Average of 15 inpatient records coded daily o PPMC Average of 15 inpatient records coded daily o 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: o Missing Operative Notes o Missing Pathology Report o Physician Query Needed o Death Review o Discharge Disposition o Missing Other Reports (Card Cath, EPS, etc) 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. Reviews and processes provider queries.

This includes working with the coding staff to appropriately write the query as well as communicating with the provider community to ensure the query is answered. Assigns high dollar and death charts to the coding staff in an equitable manner. Performs revenue cycle/DNFB activities, as needed.

Performs inpatient SMART reviews. This includes communicating with the staff in a professional manner and providing Coding Clinic or clinical information when required. Maintains professional credentials by continuing education both inside and outside the organization and tracks continuing education credits. Performs duties in accordance with Penn Medicine and entity values, policies, and procedures Other duties as assigned to support the unit, department, entity, and health system organization

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Inpatient Clerk 3Ecsh 48 Biweekly Hours

Children's Hospital Of Philadelphia

Posted 2 days ago

VIEW JOBS 10/19/2019 12:00:00 AM 2020-01-17T00:00 " CHOP EMPLOYEE? SEARCH FOR JOBS HERE. Inpatient Clerk 3ECSH - 48 biweekly hours Philadelphia, PA, US, pa Job Type: MAIN - Main Hospital Req ID: 27797 Shift: Rotating Employment Status: AP - Active - Regular - Part Time Job Summary Performs receptionist and clerical duties on inpatient units. Serves as central communication conduit for patients, visitors, and parents, nursing staff, medical staff, other departments. Job Responsibilities * Accurately and clearly communicates information between and among staff members and patients/families. * Receives, greets and directs patients, visitors and hospital personnel arriving on or calling the unit. Escorts patients to rooms * Quickly and accurately communicates patient information to the appropriate team member. Job Responsibilities (Continued) * Maintains the daily census sheet and other interdepartmental forms or communication tools. * Utilizes the TDS System to communicate with other departments regarding patient needs and changes. Initiates work orders for necessary repairs. * Performs all clerical procedures related to the admission, transfer, discharge and death of patients. * Receives and distributes mail and other items for patients. * Maintains patient and MD information boards. * Follows appropriate channels of communication in the event that a problem or conflict arises. Utilizes resources to pursue resolution of the problem. * Answers patient call bells or requests and refers the appropriate person to them. * Communicates with oncoming clerk either verbally or in writing as to the unit's needs. * Keeps charge nurse aware of whereabouts, activities, etc. * Follows unit procedure in emergency situations. * Floats to other units as needed. * Maintains the patient medical record and related forms and information in an organized, up to date fashion. * Assembles and maintains patient records, including chart, bedside records, medication Kardex and census log. Stamps all chart pages with addressograph. * Transcribes medication orders. Places isolation stickers on charts and isolation signs on doors/beds. * Enters patient data in the TDS system. Communicates orders to other departments. Places printed order sheets in charts by the end of the shift. * Monitors the printer and immediately communicates STAT orders to the RN. * Files diagnostic and laboratory reports in charts within the shift. * Provides support for patient care activities. * Orients new staff to the role. * Attends training for and participates in 1:1 observation of patients assigned. * On a weekly basis, orders supplies for the nursing station and maintains the station in a neat and orderly manner. Uses the Desktop Delivery system where possible. Required Education and Experience High school diploma or equivalent. Preferred Education, Experience & Cert/Lic Clerical course including medical terminology. Computer data entry experience. At least one year of previous clerical experience in a health related field. Additional Technical Requirements * Ability to communicate clearly in English, verbally and in writing. * Good organizational skills. * Ability to prioritize and organize tasks according to unit needs. * Ability to establish and maintain good interpersonal relationships. * Ability to enter data into a computer terminal. All CHOP employees who work in a patient building or who provide patient care are required to receive an annual influenza vaccine unless they are granted a medical or religious exemption. Children's Hospital of Philadelphia is committed to providing a safe and healthy environment for its patients, family members, visitors and employees. In an effort to achieve this goal, employment at Children's Hospital of Philadelphia, other than for positions with regularly scheduled hours in New Jersey, is contingent upon an attestation that the job applicant does not use tobacco products or nicotine in any form and a negative nicotine screen (the latter occurs after a job offer). Children's Hospital of Philadelphia is an equal opportunity employer. We do not discriminate on the basis of race, color, gender, gender identity, sexual orientation, age, religion, national or ethnic origin, disability or protected veteran status. VEVRAA Federal Contractor/Seeking priority referrals for protected veterans. Please contact our hiring official with any referrals or questions. CHOP Careers Contact Talent Acquisition 2716 South Street, 6th Floor Philadelphia, PA 19146 Phone: 866-820-9288 Email:TalentAcquisition@email.chop.edu CHOP EMPLOYEE? SEARCH FOR JOBS HERE. Job Segment: Medical, Clerical, Patient Care, Data Entry, Healthcare, Administrative Children's Hospital Of Philadelphia Philadelphia PA

HIM Inpatient Coding Specialist III

University Of Pennsylvania Health System