Logo for St. Luke's University Health Network

Professional Fee Coder(Remote PA/NJ)

Role overview

Qualifications

  • RHIA, RHIT, CPC, or CCS-P certification with working knowledge of ICD-9/ICD-10, CPT and HCPCS coding
  • 1-3 years of experience in CPT/HCPCS physician procedural coding
  • Experience with computerized patient records and coding systems (preferred)
  • Ability to maintain high coding accuracy (e.g., 95%) and meet daily productivity standards

Responsibilities

  • Code and abstract professional fee hospital services for SLPG physicians from medical records using ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines; utilize 3M Encoder for RVU validation and CPT-4 unbundling
  • Maintain a 95% coding accuracy rate as measured by quality reviews and adhere to daily productivity standards
  • Enter abstracted physician information into specialty-specific databases and collaborate with Medical Records, Finance, and Physician Billing to ensure seamless information flow
  • Conduct educational sessions for the medical staff on coding and documentation compliance; stay current with coding guidelines for hospital inpatient, observation, consultant, surgical, critical care, and E/M services

About the company

St. Luke's University Health Network logo

St. Luke's University Health Network

Hospitals & Health Care

Founded in 1872, St. Luke’s University Health Network (SLUHN) is a fully integrated, regional, non-profit network of more than 17,000 employees providing services at 14 campuses and 300+ outpatient sites. With annual net revenue of $2.7 billion, the Network’s service area includes 11 counties: Lehigh, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe, Schuylkill and Luzerne counties in Pennsylvania and Warren and Hunterdon counties in New Jersey. Dedicated to advancing medical education, St. Luke’s is the preeminent teaching hospital in central-eastern Pennsylvania. In partnership with Temple University, St. Luke’s established the Lehigh Valley’s first and only regional medical school campus. It also operates the nation’s longest continuously operating School of Nursing, established in 1884, and 38 fully accredited graduate medical educational programs with 347 residents and fellows. St. Luke’s is the only Lehigh Valley-based health care system to earn Medicare’s five-star ratings (the highest) for quality, efficiency and patient satisfaction. St. Luke’s is both a Leapfrog Group and Healthgrades Top Hospital and a Newsweek World’s Best Hospital. U.S. News & World Report ranked St. Luke’s #1 in the Lehigh Valley and #6 in the state. Three of IBM Watson Health’s 100 Top Hospitals are St. Luke’s hospitals. St. Luke’s flagship University Hospital has earned the 100 Top Major Teaching Hospital designation from IBM Watson Health nine times total and seven years in a row, including in 2021 when it was identified as THE #1 TEACHING HOSPITAL IN THE COUNTRY. In 2021, IBM Watson Health also named St. Luke’s among the 15 Top Health Systems nationally. Utilizing the Epic electronic medical record (EMR) system for both inpatient and outpatient services, the Network is a multi-year recipient of the Most Wired award recognizing the breadth of the SLUHN’s information technology applications such as telehealth, online scheduling and online pricing information.

Company details

Company typeXLarge
IndustryHospitals & Health Care
Company size10001

Your match analysis

See how your profile stacks up against this role.

We compared the job requirements to your profile to show where you're strong and where you fall short.

Job description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

  

 

 

 

The Physician Coder codes and abstracts physician services performed in the hospital setting according to AHA, AMA, guidelines and CMS directives. Must assure data quality through quarterly reviews. Performs data entry of physician services statistics into specialty-specific databases. Works with Medical Records, Finance, and Physician Billing to ensure appropriate flow of information.

JOB DUTIES AND RESPONSIBILITIES:

  • Codes and abstracts professional fee hospital services performed by SLPG  physicians  from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.  Utilizes 3M Encoder for validation of RVUs and CPT-4 procedure unbundling.

  • Maintains a 95% coding accuracy rate as measured through quality reviews.

  • Maintains daily productivity as outlined

  • Responsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services.

  • Performs data entry of abstracted physician information into specialty- specific databases.

  • Conducts educational sessions to the medical staff for coding and documentation compliance.

PHYSICAL AND SENSORY REQUIREMENTS: 

Sitting for up to seven hours per day, three- four at a time.  Frequently uses fingers for typing, data entry, etc.  Frequent  use of hands.  Use of  upper extremities to rarely lift up to ten pounds.  Rarely stoops, bends, or reaches above shoulder level.  Hearing as it relates to normal conversation.  Seeing as it relates to general vision, near vision, peripheral vision and visual monotony.

EDUCATION:

RHIA, RHIT, CPC, OR CCS-P with working knowledge of ICD-9/ICD-10, CPT and HCPCS coding required.

TRAINING AND EXPERIENCE: 

Minimum 1-3 years experience in CPT/HCPCS physician procedural coding.  Previous experience with computerized patient record and coding system preferred.

Please complete your application using your full legal name and current home address.  Be sure to include employment history for the past seven (7) years, including your present employer.  Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable.  It is highly recommended that you create a profile at the conclusion of submitting your first application.  Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer.

Apply once. Then go straight to the hiring manager.

After you apply, unlock the direct contact details of the people who actually make the call. A quick follow-up makes you 5x more likely to land an interview.

MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
Unlocked after you apply
·

Related jobs

Other jobs at St. Luke's University Health Network

Premium

Reach out to the hiring manager directly.

Gain access to the contact details of the hiring managers who actually decide, and reach out to network with them directly. That, plus more when you upgrade:

  • Full match report with fit score and gaps
  • Career diagnostics on how recruiters read you
  • Curated company matches and warm intros
  • 48h early access to new roles

Cancel anytime.