Highmark Health
Company
Allegheny Health Network
Job Description General Overview This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days.
Essential Responsibilities
Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%)
Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
Acts as a mentor and subject matter expert to others. (5%)
Performs other duties as assigned or required. (5%)
Qualifications Minimum
High School/GED
5 years of Hospital and/or Physician Coding
1 year of Coding – all specialties and service lines
Extensive knowledge in Trauma/Teaching/Observation guidelines
Successful completion of coding courses in anatomy, physiology and medical terminology
Any of the following:
Certified Coding Specialist (CCS)
Registered Health Information Technician (RHIT)
Registered Health Information Associate (RHIA)
Certified Coding Specialist Physician (CCS-P)
Certified Professional Coder (CPC)
Certified Outpatient Coder (COC)
Preferred
Associate’s Degree
Pay Range Minimum: $23.03
Maximum: $35.70
Compliance As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
Accommodation For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
Legal Notice California Consumer Privacy Act Employees, Contractors, and Applicants Notice
#J-18808-Ljbffr
Job Description General Overview This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days.
Essential Responsibilities
Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%)
Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
Acts as a mentor and subject matter expert to others. (5%)
Performs other duties as assigned or required. (5%)
Qualifications Minimum
High School/GED
5 years of Hospital and/or Physician Coding
1 year of Coding – all specialties and service lines
Extensive knowledge in Trauma/Teaching/Observation guidelines
Successful completion of coding courses in anatomy, physiology and medical terminology
Any of the following:
Certified Coding Specialist (CCS)
Registered Health Information Technician (RHIT)
Registered Health Information Associate (RHIA)
Certified Coding Specialist Physician (CCS-P)
Certified Professional Coder (CPC)
Certified Outpatient Coder (COC)
Preferred
Associate’s Degree
Pay Range Minimum: $23.03
Maximum: $35.70
Compliance As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
Accommodation For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
Legal Notice California Consumer Privacy Act Employees, Contractors, and Applicants Notice
#J-18808-Ljbffr