Certified Professional Coder jobs at Crozer Health

UPMC Corporate Revenue Cycle is hiring a Coder II- Profee! This position will be a work-from-home position working Monday through Friday during business hours. This role will have the same responsibilities as a Coder I. The position will review all pertinent physician, nursing, and ancillary documentation. Depending on the type of service and place of service, you will determine the level of acuity, procedure(s) performed, billable supplies, and diagnosis to substantiate medical necessity. As well as review and sequence all codes to maximize reimbursement and address any potential bundling issues. The Coder II will apply modifiers as needed. The position will also handle LMRP/CCI edit and coding denial resolution. Responsibilities: + Utilize computer applications and resources essential to completing the coding process efficiently. + Meet and maintain charge lag and appropriate coding productivity standards within the time frame established by management staff. + Refer problem accounts to appropriate coding or management personnel for resolution. + Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. + Monitor and resolve coding edits and denials in a timely manner to ensure optimal reimbursement. + Make forward progress within the period toward meeting coding accuracy standards of the departments within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management staff. + Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD and CPT codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc) and to determine the level of acuity. Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. + Adhere to internal department and system-wide competencies, behaviors, policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by reviewing updated CPT assistant guidelines and updated coding clinics. + Complete work assignments in a timely manner and understand the workflow of the department. Maintain daily productivity statistics and submit a weekly productivity sheet to management. + High school graduate or equivalent. + Graduate of an approved certified coding program preferred. Curriculum includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM and CPT Coding Guidelines and Procedures. + Proficient computer skills with MS excel knowledge preferred. + In lieu of two years of coding experience with schooling, a minimum of three years of experience or CPC certification is required.Licensure, Certifications, and Clearances: + Eligible for CPC or CPC specialty certification. + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

UPMC Corporate Revenue Cycle is hiring a Coder II- Profee to join our team! This position will be a work-from-home position working Monday through Friday during business hours. This role will have the same responsibilities as a Coder I. The position will review all pertinent physician, nursing, and ancillary documentation. Depending on the type of service and place of service, you will determine the level of acuity, procedure(s) performed, billable supplies, and diagnosis to substantiate medical necessity. As well as review and sequence all codes to maximize reimbursement and address any potential bundling issues. The Coder II will apply modifiers as needed. The position will also handle LMRP/CCI edit and coding denial resolution. We are looking for coders with prior experience in cardiology coding to join the team. If you are ready to take the next step in your coding career, look no further! Responsibilities: + Utilize computer applications and resources essential to completing the coding process efficiently. + Meet and maintain charge lag and appropriate coding productivity standards within the time frame established by management staff. + Refer problem accounts to appropriate coding or management personnel for resolution. + Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. + Monitor and resolve coding edits and denials in a timely manner to ensure optimal reimbursement. + Make forward progress within the period toward meeting coding accuracy standards of the departments within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management staff. + Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD and CPT codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc) and to determine the level of acuity. Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. + Adhere to internal department and system-wide competencies, behaviors, policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by reviewing updated CPT assistant guidelines and updated coding clinics. + Complete work assignments in a timely manner and understand the workflow of the department. Maintain daily productivity statistics and submit a weekly productivity sheet to management. + High school graduate or equivalent. + In lieu of 2 years of coding experience with schooling, a minimum of 3 years of experience or CPC certification is required. + Graduate of an approved certified coding program preferred. Curriculum includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM and CPT Coding Guidelines and Procedures. + Proficient computer skills with MS excel knowledge preferred. **Licensure, Certifications, and Clearances:** + Eligible for CPC or CPC specialty certification. + Act 34 **UPMC is an Equal Opportunity Employer/Disability/Veteran**

UPMC is seeking to hire a Certified Coding Specialist I to join our Coding Department. This is a work-from-home position, working Monday through Friday during standard business hours. To qualify for this position, you must have at least five years of coding experience. As a Certified Coding Specialist I, you will have the same responsibilities as a Certified Specialty Coder, plus provide training on code selection for new and existing staff. Specifically, you will be working on denials, special projects in targeted specialties to assist in the reduction of denials. You will perform audits to determine code and charge selection accuracy as well as summarize coder accuracy for Managers. Identify topics for training and education, research topics and assist with the assembly of training materials and CDI process. Assist with audit reviews including all internal, external, and RAC associated coding audits. Supervise on-site staff. Review and approve adjustments to accounts. Responsible for Kronos approval and sign-off. Responsibilities: + Adhere to internal system-wide policies, competencies, behaviors and procedures to ensure efficient work processes. Actively participate in periodic coding meetings and shares ideas and suggestions for operational improvements. + Utilize advanced, specialized knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements. + Supervises staff including assignments and Kronos approval and signoff. Also assist with recruitment. + Code all diagnoses and procedures by assigning and verifying the proper ICD and CPT codes. Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation available at the time of coding. + Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. + Investigate and resolve reimbursement issues, including denials, in a timely manner and demonstrate proficiency on billing system. + Monitor billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling. Prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation. + Advise and instruct coders/providers regarding billing and documentation policies, procedures, and regulations; interacts with providers regarding conflicting, ambiguous, or non-specific medical documentation, to obtain clarification. + Progress within the training period toward meeting departmental coding accuracy standards within the first year of employment by assigning correct principal diagnosis/procedure, complications and co-morbidities, and secondary diagnoses as reviewed by the designated trainer. Coder should meet appropriate coding productivity standards within the time frame established by management staff. + Train all new Coders to observe established coding guidelines and to utilize the appropriate billing system. + Refer problem accounts to appropriate coding or management personnel for resolution. + Lead, participate in and/or assist with departmental coding audits. + Work with department management on coding interface, development, enhancements and changes, as well as implementation of those functions. + High school graduate or equivalent. + Graduate of an approved certified coding program preferred. + Proficient computer skills with MS excel knowledge preferred. + Five years surgical coding experience (includes anesthesia coding) OR advanced E/M coding experience.Licensure, Certifications, and Clearances:CPC or Certified Coding Specialist (CCS) specialty certification required + Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT) + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

UPMC Hillman Cancer Center at the Divine Providence Campus in Williamsport is currently hiring a full-time Medical Oncology Coder. This position offers a consistent day shift schedule from 8:00 AM to 4:30 PM, totaling 40 hours per week. The ideal candidate will hold a Certified Professional Coder (CPC) credential and have at least two years of experience in physician coding using Physician CPT and ICD-9. This is a great opportunity to join a dedicated oncology team and contribute to accurate, compliant coding that supports high-quality patient care. This is a hybrid position. The initial phase of employment will require on-site work at UPMC Hillman Cancer Center in Williamsport, PA for several months. After this period, mandatory attendance for monthly meetings and other required on-site sessions will continue. Ideally, the candidate will work minimum one day per week in the office at UPMC Hillman Cancer Center, with the remaining time remote. Responsibilities: + Query physicians when documentation is inadequate, ambiguous, or unclear to ensure accurate code assignment. + Adhere to all organizational and departmental policies and procedures. + Track and report daily volumes and gross revenues. + Demonstrate SH Service Excellence behaviors-greet patients warmly, treat everyone with respect and dignity, and embody the principles of C.A.R.E.2. + Perform financial billing for professional, facility, and infusion services. + Assign and sequence infusion codes according to guidelines from the American Hospital Association and American Medical Association. + Review records and provide codes to support medical necessity for specific tests as requested by Finance. + Research pre-bill reports to correct or complete encounters and identify trends affecting billing completion. + Add appropriate billing codes to the Electronic Medical Record (EMR). + Take ownership of personal development and continuing education. + Audit EMR entries to ensure all charges are accurately captured. + Apply evidence-based practices to ensure quality and safety in daily work. + Identify and report inefficiencies, unsafe conditions, or potential errors. + Encourage patient and family involvement in safety-related processes. + Collaborate with colleagues to uphold high standards of quality and safety. + Report serious events or incidents in accordance with policy. + Education: High School Diploma or equivalent required + Experience: Minimum of two years of experience with Physician CPT and ICD-9 coding required + Hematology and Oncology coding experience preferred Licensure, Certifications, and Clearances: + Certified Professional Coder (CPC) - Required + Act 34 Clearance - RequiredUPMC is an Equal Opportunity Employer supporting individuals with disabilities and veterans.

Purpose: Codes Ancillary outpatient accounts, diagnosis coding only. Codes Ancillary Service patient type (single visit service such as lab, x-ray, pathology specimen); requires ICD-9 diagnosis coding skills only. Coder reviews the physician script, order or chief complaint as documented in a diagnostic report to determine the appropriate ICD-9 code. Ensures diagnosis codes meet local medical necessity guidelines for ancillary tests that were ordered-- requires knowledge of billing and coding guidelines. Respond to Cirius errors identified by coder ID # on the daily report. Responsibilities: + Refer problem accounts to appropriate coding or management personnel for resolution. + Meet appropriate coding productivity and quality standards within the time frame established by management staff. + Adhere to internal department policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by attending seminars, reviewing updated CPT assistant guidelines and updated coding clinics. + Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. Utilize standard coding guidelines and principles and coding clinics to assign the appropriate ICD-9-CM/ICD-10-CM, CPT and DSM IV codes for outpatient records to ensure accurate reimbursement. + Determine diagnoses that were treated, monitored and evaluated and procedures done during the episode of care are sequenced in order of their clinical significance to accurately assign the appropriate APC/ASC or payment tier under the Prospective Payment system or DSM IV methodology to guarantee accurate reimbursement on UPMC patients. + Utilize computer applications and resources essential to completing the coding process efficiently, such as hospital information systems, EHR information systems,encoders and electronic medical record repositories. If applicable, abstract required medical and demographic information from the medical record and enter the data into the appropriate information system to ensure accuracy of the database. + Complete work assignments in a timely manner and understand the workflow of the department including routing cases appropriately in the electronic systems. + Code by assigning and verifying the principle and secondary diagnoses (ICD-9-CM/ICD-10-CM) and procedures (CPT codes or DSM, IV if applicable) by thoroughly reviewing all documentation available at the time of coding. + Complete a non coding time productivity sheet as required/applicable. a { text-decoration: none; color: #464feb; } tr th, tr td { border: 1px solid #e6e6e6; } tr th { background-color: #f5f5f5; } + High School diploma or GED equivalent required. + Successful completion of a recognized coding program and an AHIMA- or AAPC-certified coding program or certificate (e.g., Bidwell Training School or equivalent). + Curriculum should include: + Anatomy and Physiology + Medical Terminology + ICD-9-CM / ICD-10 + CPT Coding Guidelines and Procedures + Preferred: Minimum of 6 months hospital coding experience Licensure, Certifications, and Clearances: + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Purpose: OUTPATIENT CODING OUTPATIENT: Coding diagnosis & procedure codes ICD10 & CPT codes and charging for injections, infusions, hydrations, and observation hours. Responsibilities: + Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. a { text-decoration: none; color: #464feb; } tr th, tr td { border: 1px solid #e6e6e6; } tr th { background-color: #f5f5f5; } + Type of coding includes reconciling NCCI edits for clinical labs, clinic visits, emergency room visits, and observation stays. Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD-10-CM, CPT and DSM IV codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc). Utilize the ACEP acuity level guidelines for assigning the correct acuity level for ED coding, or hospital specific acuity level module as needed. + Adhere to internal department policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by attending seminars, reviewing updated CPT assistant guidelines and updated coding clinics. + Make forward progress within the training period toward meeting coding accuracy standards of 95% within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management staff. + Code all diagnoses and procedures by assigning and verifying the proper ICD-10-CM and CPT codes (DSM IV if applicable). Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation available at the time of coding. + Utilize computer applications and resources essential to completing the coding process efficiently, such as hospital information systems (Medipac/SMS/Meditech), encoders and electronic medical record repositories. If applicable, abstract required medical and demographic information from the medical record and enter the data into the appropriate information system to ensure accuracy of the database. Correct any data to be in error after reviewing the medical record and comparing with system entries. + Refer problem accounts to appropriate coding or management personnel for resolution + Complete work assignments in a timely manner and understand the workflow of the department. Maintain daily productivity statistics and submit a weekly productivity sheet to management clearly indicating the number of hours worked, the number of coding hours, the number of average charts per hour, and number of minutes/hours spent on non-coding tasks. + Determine diagnoses that were treated, monitored and evaluated and procedures done during the episode of care and assign appropriate codes. Review appropriate documents in the patients' charts to accurately assign a diagnosis and/or procedure. Ensure the diagnoses and procedures are sequenced in order of their clinical significance to accurately assign the appropriate DRG/APC/ASC or payment tier under the Prospective Payment system or DSM IV methodology to guarantee accurate reimbursement on UPMC patients. + Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. High School or GED equivalent. Completed an AHIMA or AACP-certified Coding program or certificate, Bidwell Training School or equivalent program. Curriculum includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-10-CM and CPT Coding Guidelines and Procedures. Outpatient: pharmacology is taught on the job during training; pathophysiology not required. Outpatient: Pharmacology & pathophysiology coursework required. 2 years hospital coding experience required. Licensure, Certifications, and Clearances: Eligible for RHIA, RHIT, CCS + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Purpose: Codes Ancillary outpatient accounts, diagnosis coding only. Codes Ancillary Service patient type (single visit service such as lab, x-ray, pathology specimen); requires ICD-10 diagnosis coding skills only. Coder reviews the physician script, order or chief complaint as documented in a diagnostic report to determine the appropriate ICD-10 code. Ensures diagnosis codes meet local medical necessity guidelines for ancillary tests that were ordered-- requires knowledge of billing and coding guidelines. Respond to Cirius errors identified by coder ID # on the daily report. Responsibilities: + Refer problem accounts to appropriate coding or management personnel for resolution. + Meet appropriate coding productivity and quality standards within the time frame established by management staff. + Adhere to internal department policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by attending seminars, reviewing updated CPT assistant guidelines and updated coding clinics. + Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. Utilize standard coding guidelines and principles and coding clinics to assign the appropriate ICD-9-CM/ICD-10-CM, CPT and DSM IV codes for outpatient records to ensure accurate reimbursement. + Determine diagnoses that were treated, monitored and evaluated and procedures done during the episode of care are sequenced in order of their clinical significance to accurately assign the appropriate APC/ASC or payment tier under the Prospective Payment system or DSM IV methodology to guarantee accurate reimbursement on UPMC patients. + Utilize computer applications and resources essential to completing the coding process efficiently, such as hospital information systems, EHR information systems,encoders and electronic medical record repositories. If applicable, abstract required medical and demographic information from the medical record and enter the data into the appropriate information system to ensure accuracy of the database. + Complete work assignments in a timely manner and understand the workflow of the department including routing cases appropriately in the electronic systems. + Code by assigning and verifying the principle and secondary diagnoses (ICD-9-CM/ICD-10-CM) and procedures (CPT codes or DSM, IV if applicable) by thoroughly reviewing all documentation available at the time of coding. + Complete a non coding time productivity sheet as required/applicable. High School or GED equivalent. Completed an AHIMA or AACP-certified Coding program or certificate, Bidwell Training School or equivalent program. Curriculum includes Anatomy and Physiology, Medical Terminology, ICD-9-CM/ICD 10 and CPT Coding Guidelines and Procedures. 6 months hospitals coding experience preferred. Licensure, Certifications, and Clearances: + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Purpose: Same responsibilities as a Coder I. Review all pertinent physician, nursing and ancillary documentation in the medical record. Depending on type of service and place of service, determine level of acuity, procudure(s) performed, billable supplies and diagnosis to substantiate medical necessity. Review and sequence all codes to to maximize reimbursement and address any potential bundling issues. Apply modifiers as needed. LMRP/CCI edit and coding denial resolution. Responsibilities: + Utilize computer applications and resources essential to completing the coding process efficiently. + Meet and maintain charge lag and appropriate coding productivity standards within the time frame established by management staff. + Refer problem accounts to appropriate coding or management personnel for resolution. + Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. + Monitor and resolve coding edits and denials in a timely manner to ensure optimal reimbursement. + Make forward progress within the period toward meeting coding accuracy standards of the departments within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management staff. + Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD and CPT codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc) and to determine the level of acuity. Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. + Adhere to internal department and system-wide competencies, behaviors, policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by reviewing updated CPT assistant guidelines and updated coding clinics. + Complete work assignments in a timely manner and understand the workflow of the department. Maintain daily productivity statistics and submit a weekly productivity sheet to management. High school graduate or equivalent. Graduate of an approved certified coding program preferred. Curriculum includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM and CPT Coding Guidelines and Procedures. Proficient computer skills with MS excel knowledge preferred. In lieu of 2 years of coding experience with schooling, a minimum of 3 years experience or CPC certification required. Epic Experience is preferred Licensure, Certifications, and Clearances: Eligible for CPC or CPC specialty certification. + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran

Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. Job Duties: Minimum 1 certification required: CPC - Certified Professional Coder AAPC CRC - Certified Risk Adjustment Coder - AAPC RHIT - Registered Health Information Technician - AHIMA Reviews the content of the medical record for hospital and professional inpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient severity and comply with standard provider coding regulations. Carefully details review of documents such as laboratory findings, radiology reports, various scan reports, discharge summary, history and physical, consultations, orders, progress notes and other ancillary services treatment records needed to ensure all pertinent diagnoses and procedures are recorded. Translates all diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes as required. Using the Encoder software program, determines the codes for all diagnoses and procedures. Determines their sequencing to legally maximize reimbursement. Assigns the appropriate DRG. Assigns codes based on hospital and professional coding guidelines, Coding Clinic directives, federal regulations, CCI coding initiatives, CPT Assistant or other standard coding guidelines. Queries physicians as needed to clarify documentation within the patient's record to facilitate complete and accurate coding. Understands and applies internal policy and procedure guidelines regarding how to phrase physician queries. Assists the Coding Quality and Professional Manager with training of new coding staff related to hospital and professional coding guidelines, encoder and other software systems needed for the coding process, along with reviewing coding guidelines on an annual basis and makes recommendations for change to improve coding and data management. Communicates to Coding Quality and Professional Manager any new diagnoses, procedures, technologies, etc. documented within patient records to ensure that appropriate diagnosis and procedure codes are selected and incorporated into hospital and professional coding guidelines. Updates and corrects historical file data by completing and submitting claim action reports per the PHC4 quarterly report. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. *Relevant experience may be a combination of related work experience and/or completed specialty training program (1 year of specialty training = 1 year relevant experience). Position Details: Education: High School Diploma or Equivalent (GED)- (Required) Experience: Minimum of 6 years-Relevant experience* (Required) Certification(s) and License(s): Certified Professional Coder - American Academy of Professional Coders (AAPC), Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT) - American Health Information Management Association Skills: Communication, Computer Coding, Computer Literacy, Organizing, Teamwork OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

Position Function: Under the direction of the Coding Manager, functions as a medical coder for the Health Information Management Department to review, retrieve, collect, and assign appropriate ICD-10-CM diagnoses codes and ICD-10-PCS or CPT codes for the purposes of compliance with regulations, data and statistical compilation, clinical research, clinical care analysis and optimal reimbursement. Responsibilities Essential Functions and Responsibilities Unit Based Essential Functions and Responsibilities Core Values: Service, Integrity, Compassion 1. Demonstrates service excellence and patient and family centered care by showing respect, honesty, fairness, and a positive attitude toward all customers. 2. Maintains confidentiality. 3. Demonstrates dependability, to include attendance and punctuality. 4. Is accountable - takes initiative and ownership of issues. 5. Displays a professional demeanor. Represents hospital in a positive way. Has a compassionate working relationship with patients and families. 6. Assumes personal responsibility for 2-way communication. Communicates and listens effectively with patients, families, coworkers, other departments, physicians/providers, and community. 7. Supports coworkers, initiatives and a patient and family centered philosophy; pitches in; does own part and helps others. 8. Works to continuously improve work environment/processes (Performance Improvement). Demonstrates a patient and family centered focus when considering/developing improvement solutions. 9. Represents willingness/enthusiasm to create, embrace and facilitate change. 10. Develops self and others; supports a learning environment; leads by example. Encourages patients and families to give feedback and suggestions for improvement. 11. Develops working relationships critical to the organization including patients, families, coworkers, other departments, physicians/providers, and community. 12. Encourage others by providing recognition and support. Technical Excellence 1. Thinks critically; utilizes sound judgment; promptly reports potential risks. 2. Maintains state of art knowledge of area of specialty, healthcare trends and practice, and populations served. 3. Maintains a level of computer literacy appropriate to their role. 4. Meets and maintains current all unit specific and organizational skills/competencies, certifications/licensures, as required. 5. Completes hospital-required reviews, e.g., HIPAA, safety, health screening, care concerns, and others as assigned. 6. Adheres to National Patient Safety Goals. Job Class Specifics 1. Attends, unless excused, all departmental huddles, in-services, and educational programs to develop new skills and maintain competencies. 2. Meets and maintains established productivity and quality standards for a total of 9 out of 12 months within the evaluation period. 3. Completes an electronic daily productivity worksheet and submits it by the end of each workday. 4. Plans and prioritizes workload at the beginning of shift and throughout shift in accordance with departmental goals for coding turnaround. 5. Selects the most accurate DRG for each inpatient account, maintaining compliance based on approved coding guidelines and conventions. 6. Reviews entire inpatient electronic health record to accurately code and sequence diagnoses and procedure codes according to "ICD-10 CM/PCS Official Guidelines for Coding and Reporting" and other regulatory guidelines with 95% accuracy or higher. 7. Works cooperatively with the medical staff and other healthcare professionals in obtaining documentation to complete medical records and ensure optimal and accurate coding. Communicates effectively with medical staff through use of electronic queries per established departmental policy. 8. Reviews entire ambulatory surgery, observation, or outpatient electronic health record to accurately code and sequence diagnosis codes according to "ICD-10-CM Official Guidelines for Coding and Reporting" and to support medical necessity with 95% accuracy or higher. 9. Assigns appropriate first-listed and secondary CPT/HCPCS and modifiers for outpatient procedures according to CPT and OCE/NCCI coding guidelines with 95% accuracy or higher. 10. Reviews medication administration records and accurately posts infusion administration charges for observation, outpatient oncology and infusion service accounts. 11. Reviews interventional cardiology procedure logs and documentation to verify, correct and update procedure or charge codes to ensure accurate coding and charging of procedures, devices, implants, and supplies. 12. Abstracts patient data, including discharge status, consulting providers, admitting, and attending provider, and surgeon from electronic health record to appropriately complete Epic ADT Information screen prior to completing an account for billing and claims submission for inpatient, ambulatory surgery, or outpatient visit account with 95% accuracy. 13. Reviews professional journals, newsletters, and educational assignments in a timely fashion to keep up to date on current coding guidelines. General Requirements The following requirements are expected of all employees: Core Values: Integrity, Compassion, Excellence, Service Annual Health Screening with Infection Control and Blood Borne Pathogens Education Safety Awareness: Hospital Fire, Safety, and Disaster procedures Confidentiality: Maintains employee and patient confidentiality. Attendance: Regular attendance is an essential function of the position Leadership Standards: Character: Attitude, Integrity, Role Modeling Job Performance: Results orientation, Customer focus, Decision making, Awareness Interpersonal Skills: Communication, Relationship-building, Team player, Celebration Innovation: Breakthrough Thinking, Knowledge-Building/Sharing, Coaching/Empowering, System Vision & Management Physical and Mental Requirements: Physical Standards and Abilities - Classified as sedentary work by the Dictionary of Occupational Titles: May exert up to ten pounds of force occasionally and/or an insignificant amount of force frequently or constantly in order to lift, carry, push, pull or otherwise move objects. Work involves sitting most of the time on a hard or cushioned chair. Manual dexterity adequate for utilizing a keyboard and computer mouse. Ability to adapt to simultaneous, multiple and varied stimuli. Auditory acuity adequate for hearing telephone or virtual conversations, normal voice tones when not facing the individual, overhead pages, etc. Mental Demands - Ability to communicate in both written and verbal form and relate to staff and others. Ability to speak, read and write the English language. Ability to efficiently and effectively handle multiple demands simultaneously as a result of working under the pressure of deadlines. Working Environment: Work is performed remotely in an approved, designated home-based workspace. Reporting Structure: Formal Reporting and Chain of Command - Reports to the Coding Manager. In his/her absence, reports to Senior Director of Health Information Management. Informal Reporting and Relationships - Establishes and maintains working relationships within the department, with other departments, medical staff and with the public. Disclaimer: These essential job functions are requirements of the position, which must be performed either with or without reasonable accommodation. The essential job function list is intended to be a guide rather than a limitation. The Chambersburg Hospital possesses the right to add new responsibilities to the list as business demands dictate. Some of the essential job functions may exclude individuals who pose a direct threat/significant risk to the health and safety of themselves or others. By identifying essential job functions, we are in no way stating or implying that these required tasks are the only activities that are to be performed by the employee occupying this position. In addition, employees will also be expected to follow any other job-related instructions and to perform any other job-related duties that are included in the . The preceding requirements represent only the minimum acceptable levels of knowledge, skills, and/or abilities that a job incumbent must possess; to perform the job successfully, the incumbent will possess additional aptitudes to perform the other duties that the job description entails. Qualifications Qualifications and Standards Education: Formal Education and Training - • Certified Coding Specialist (CCS) with at least one year of acute care coding experience. • OR a Registered Health Information Administrator (RHIA) with at least one year of acute care coding experience. • OR a Registered Health Information Technician (RHIT) with at least one year of acute care coding experience. • OR a Certified Coding Associate (CCA) with at least two years of acute care coding experience. • OR a Certified Professional Coder/Hospital (CPCH) or Certified Professional Coder (CPC) with at least two years of acute care coding experience. • OR a Bachelor's Degree with at least one year of acute care coding experience. • OR an Associate Degree with at least one year of acute care coding experience. • OR a High School Diploma with at least three years of acute care coding experience. • Other formal training of ICD-10-CM/PCS and CPT coding; knowledge of medical terminology, anatomy, and physiology; basic computer skills and coding experience. Experience: Experience applying customer service behaviors and communication skills required. See above Education section for requirements. Certifications/Licensure: See above Education section for requirements.

Position Function: Under the direction of the Coding Manager, functions as a medical coder for the Health Information Management Department to review, retrieve, collect, and assign appropriate ICD-10-CM diagnoses codes and ICD-10-PCS or CPT codes for the purposes of compliance with regulations, data and statistical compilation, clinical research, clinical care analysis and optimal reimbursement. Essential Functions and Responsibilities Unit Based Essential Functions and Responsibilities Core Values: Service, Integrity, Compassion 1. Demonstrates service excellence and patient and family centered care by showing respect, honesty, fairness, and a positive attitude toward all customers. 2. Maintains confidentiality. 3. Demonstrates dependability, to include attendance and punctuality. 4. Is accountable - takes initiative and ownership of issues. 5. Displays a professional demeanor. Represents hospital in a positive way. Has a compassionate working relationship with patients and families. 6. Assumes personal responsibility for 2-way communication. Communicates and listens effectively with patients, families, coworkers, other departments, physicians/providers, and community. 7. Supports coworkers, initiatives and a patient and family centered philosophy; pitches in; does own part and helps others. 8. Works to continuously improve work environment/processes (Performance Improvement). Demonstrates a patient and family centered focus when considering/developing improvement solutions. 9. Represents willingness/enthusiasm to create, embrace and facilitate change. 10. Develops self and others; supports a learning environment; leads by example. Encourages patients and families to give feedback and suggestions for improvement. 11. Develops working relationships critical to the organization including patients, families, coworkers, other departments, physicians/providers, and community. 12. Encourage others by providing recognition and support. Technical Excellence 1. Thinks critically; utilizes sound judgment; promptly reports potential risks. 2. Maintains state of art knowledge of area of specialty, healthcare trends and practice, and populations served. 3. Maintains a level of computer literacy appropriate to their role. 4. Meets and maintains current all unit specific and organizational skills/competencies, certifications/licensures, as required. 5. Completes hospital-required reviews, e.g., HIPAA, safety, health screening, care concerns, and others as assigned. 6. Adheres to National Patient Safety Goals. Job Class Specifics 1. Attends, unless excused, all departmental huddles, in-services, and educational programs to develop new skills and maintain competencies. 2. Meets and maintains established productivity and quality standards for a total of 9 out of 12 months within the evaluation period. 3. Completes an electronic daily productivity worksheet and submits it by the end of each workday. 4. Plans and prioritizes workload at the beginning of shift and throughout shift in accordance with departmental goals for coding turnaround. 5. Selects the most accurate DRG for each inpatient account, maintaining compliance based on approved coding guidelines and conventions. 6. Reviews entire inpatient electronic health record to accurately code and sequence diagnoses and procedure codes according to "ICD-10 CM/PCS Official Guidelines for Coding and Reporting" and other regulatory guidelines with 95% accuracy or higher. 7. Works cooperatively with the medical staff and other healthcare professionals in obtaining documentation to complete medical records and ensure optimal and accurate coding. Communicates effectively with medical staff through use of electronic queries per established departmental policy. 8. Reviews entire ambulatory surgery, observation, or outpatient electronic health record to accurately code and sequence diagnosis codes according to "ICD-10-CM Official Guidelines for Coding and Reporting" and to support medical necessity with 95% accuracy or higher. 9. Assigns appropriate first-listed and secondary CPT/HCPCS and modifiers for outpatient procedures according to CPT and OCE/NCCI coding guidelines with 95% accuracy or higher. 10. Reviews medication administration records and accurately posts infusion administration charges for observation, outpatient oncology and infusion service accounts. 11. Reviews interventional cardiology procedure logs and documentation to verify, correct and update procedure or charge codes to ensure accurate coding and charging of procedures, devices, implants, and supplies. 12. Abstracts patient data, including discharge status, consulting providers, admitting, and attending provider, and surgeon from electronic health record to appropriately complete Epic ADT Information screen prior to completing an account for billing and claims submission for inpatient, ambulatory surgery, or outpatient visit account with 95% accuracy. 13. Reviews professional journals, newsletters, and educational assignments in a timely fashion to keep up to date on current coding guidelines. General Requirements The following requirements are expected of all employees: Core Values: Integrity, Compassion, Excellence, Service Annual Health Screening with Infection Control and Blood Borne Pathogens Education Safety Awareness: Hospital Fire, Safety, and Disaster procedures Confidentiality: Maintains employee and patient confidentiality. Attendance: Regular attendance is an essential function of the position Leadership Standards: Character: Attitude, Integrity, Role Modeling Job Performance: Results orientation, Customer focus, Decision making, Awareness Interpersonal Skills: Communication, Relationship-building, Team player, Celebration Innovation: Breakthrough Thinking, Knowledge-Building/Sharing, Coaching/Empowering, System Vision & Management Physical and Mental Requirements: Physical Standards and Abilities - Classified as sedentary work by the Dictionary of Occupational Titles: May exert up to ten pounds of force occasionally and/or an insignificant amount of force frequently or constantly in order to lift, carry, push, pull or otherwise move objects. Work involves sitting most of the time on a hard or cushioned chair. Manual dexterity adequate for utilizing a keyboard and computer mouse. Ability to adapt to simultaneous, multiple and varied stimuli. Auditory acuity adequate for hearing telephone or virtual conversations, normal voice tones when not facing the individual, overhead pages, etc. Mental Demands - Ability to communicate in both written and verbal form and relate to staff and others. Ability to speak, read and write the English language. Ability to efficiently and effectively handle multiple demands simultaneously as a result of working under the pressure of deadlines. Working Environment: Work is performed remotely in an approved, designated home-based workspace. Reporting Structure: Formal Reporting and Chain of Command - Reports to the Coding Manager. In his/her absence, reports to Senior Director of Health Information Management. Informal Reporting and Relationships - Establishes and maintains working relationships within the department, with other departments, medical staff and with the public. Disclaimer: These essential job functions are requirements of the position, which must be performed either with or without reasonable accommodation. The essential job function list is intended to be a guide rather than a limitation. The Chambersburg Hospital possesses the right to add new responsibilities to the list as business demands dictate. Some of the essential job functions may exclude individuals who pose a direct threat/significant risk to the health and safety of themselves or others. By identifying essential job functions, we are in no way stating or implying that these required tasks are the only activities that are to be performed by the employee occupying this position. In addition, employees will also be expected to follow any other job-related instructions and to perform any other job-related duties that are included in the . The preceding requirements represent only the minimum acceptable levels of knowledge, skills, and/or abilities that a job incumbent must possess; to perform the job successfully, the incumbent will possess additional aptitudes to perform the other duties that the job description entails. Qualifications and Standards Education: Formal Education and Training - * Certified Coding Specialist (CCS) with at least one year of acute care coding experience. * OR a Registered Health Information Administrator (RHIA) with at least one year of acute care coding experience. * OR a Registered Health Information Technician (RHIT) with at least one year of acute care coding experience. * OR a Certified Coding Associate (CCA) with at least two years of acute care coding experience. * OR a Certified Professional Coder/Hospital (CPCH) or Certified Professional Coder (CPC) with at least two years of acute care coding experience. * OR a Bachelor's Degree with at least one year of acute care coding experience. * OR an Associate Degree with at least one year of acute care coding experience. * OR a High School Diploma with at least three years of acute care coding experience. * Other formal training of ICD-10-CM/PCS and CPT coding; knowledge of medical terminology, anatomy, and physiology; basic computer skills and coding experience. Experience: Experience applying customer service behaviors and communication skills required. See above Education section for requirements. Certifications/Licensure: See above Education section for requirements.

**Full-time, Evenings** **4pm-12am, Monday-Friday** **80 hrs/2 weeks** Contributes in a peer support capacity to facilitate recovery and enhance wellness by sharing his/her personal/practical experience and first-hand knowledge to the team and clients. Provides expertise about the recovery process, symptom management, and the persistence required by patients to have a satisfying life. Serves as a role model for recovery for both staff and peers and partners with peers in developing recovery tools and building support networks. **Duties and Responsibilities** **Essential Functions:** + Draws on common experiences as a peer to provide guidance and encouragement to patients to take responsibility and actively participate in their own recovery. + Assists designated peers with rehabilitation social support, advocacy, educational and vocational mentoring, and self-maintenance. + Provides side-by-side support and coaching to help patients socialize, such as going with a patient to the grocery store, movies, library, etc. during program hours of operation which may require use of staff's personal vehicle. + Supports patient participation in community self-help groups. + Coaches or teaches basic individual living skills, such as food preparation, meal planning, laundry, bill payment and personal hygiene. + Provides education about symptoms of mental illness to assist patients in understanding their mental illness and identifying relapse symptoms. + Works with patients in supporting their individual choice and preference regarding medications, under the direction of the physician and nursing staff. + Promotes participation in Wellness Recovery Action Plan (WRAP) and Psychiatric Advance Directives (PAD) planning among peers. + Partners with peers to create, review and attain goals on the Individual Recovery Plan. + Completes necessary documentation for each peer encounter (i.e. service activity, contact sheets, etc.) within 48 hours of encounter. + Completes monthly log of services provided. + Acquires knowledge or resources in assigned county/counites while maintaining an excellent working relationship with all providers. + Acts as a liaison with other community agencies/groups, funding sources and businesses that relate to the services provided to peers. + Participates in the on-call system according to WellSpan Philhaven ACT policy. **Common Expectations:** + Attends all meetings with supervisor, staff, and clients as well as trainings and in-services. + Reinforces hope and the potential for recovery to peers and others. + Encourages and provides support for peers to advocate for themselves. + Models coping techniques and self-help strategies. + Completes yearly annual safety education modules in compliance with WellSpan Philhaven policy. + Performs and participates in outcome measurement, performance improvement and customer satisfaction studies designed to measure and improve the quality of services delivered. + Contributes to a safe work environment through knowledge and practice of safe behavioral management practices, fire safety, physical plant safety, safe emergency practices, and universal precautions for bodily fluids + Provides after hours telephone support to enrolled peers as assigned (Pager rotated among staff on a monthly basis). + Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation. **Qualifications** **Minimum Education:** + High School Diploma or GED Required **Work Experience:** + Experience in navigating/personal knowledge and experience in the mental health system. Required + 1 year General work/volunteer/credit hour experience. Preferred and + Professional office work experience. Preferred **Licenses:** + Certified Peer Specialist Upon Hire Required **Driver's License Statement:** Must possess a valid driver's license in the current state of residence. Driving record must meet requirements established by WellSpan Risk Management. **Knowledge, Skills, and Abilities:** + Excellent human relations and oral/written communication skills. + Knowledge of and ability in the care and support of individuals in a specific age group. WellSpan Health's vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest. WellSpan Philhaven Situated on more than 200 acres, WellSpan Philhaven's main campus in Mt. Gretna, PA, is a tranquil place with walking trails nestled within a picturesque forest and adjacent to an operating farm. The campus provides an atmosphere of peace and serenity for our clients. Our most comprehensive continuum of care, which includes more than 20 programs and services is located at this main campus. At WellSpan Philhaven, we help address mental health conditions such as depression, anxiety, bipolar disorder, attention deficit disorder, phobias, post-traumatic stress disorder and more. **Quality of Life** Formed in 1813, Lebanon is a quaint city of 25,700 residents. The area, rich in heritage and the small-town charm of yesteryear, features sites on the National Register of Historic Places, museums, scenic parks and recreation facilities, performing arts theaters, artists' studios, a farmers market and dining establishments for all tastes. Life in Lebanon County offers affordable housing and options for pursuing higher education. Residents can find local employment in manufacturing, retail, arts and entertainment, healthcare and service sectors. Located in Central Pennsylvania, Lebanon is within an easy driving distance of Harrisburg, Lancaster, Reading and York. (Patient population: 140,000) WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.

Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. Job Duties + Reviews the content of the medical record for hospital and professional inpatient or outpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient severity and comply with standard provider coding regulations. + Carefully details review of documents such as laboratory findings, radiology reports, various scan reports, discharge summary, history and physical, consultations, orders, progress notes and other ancillary services treatment records needed to ensure all pertinent diagnoses and procedures are recorded. + Translates all diagnostic and procedural phrases utilized by healthcare providers into coded form using procedure codes as required. + Using the Encoder software program, determines the codes for all diagnoses and procedures. + Determines their sequencing to legally maximize reimbursement. + Assigns the appropriate DRG. + Assigns codes based on hospital and professional coding guidelines, Coding Clinic directives, federal regulations, CCI coding initiatives, CPT Assistant or other standard coding guidelines. Queries physicians as needed to clarify documentation within the patient's record to facilitate complete and accurate coding. + Understands and applies internal policy and procedure guidelines regarding how to phrase physician queries. + Assists the Coding Quality and Professional Manager with training of new coding staff related to hospital and professional coding guidelines, encoder and other software systems needed for the coding process, along with reviewing coding guidelines on an annual basis and makes recommendations for change to improve coding and data management. + Communicates to Coding Quality and Professional Manager any new diagnoses, procedures, technologies, etc. + documented within patient records to ensure that appropriate diagnosis and procedure codes are selected and incorporated into hospital and professional coding guidelines. + Updates and corrects historical file data by completing and submitting claim action reports per the PHC4 quarterly report. + Works in conjunction with other areas within the revenue cycle and external departments and Geisinger to ensure coordinated activities with respect to all revenue cycle needs. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. *Relevant experience may be a combination of related work experience and/or completed specialty training program (1 year of specialty training = 1 year relevant experience). Position Details One of the following certifications required: Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC) Certified Professional Coder (CPC)- American Academy of Professional Coders (AAPC) Registered Health Information Technician (RHIT) - American Health Information Management Association Education High School Diploma or Equivalent (GED)- (Required) Experience Minimum of 3 years-Relevant experience* (Required) Certification(s) and License(s) Registered Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC); Certified Professional Coder - American Academy of Professional Coders (AAPC) OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.

Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. Job Duties Minimum 1 certification required:CPC - Certified Professional Coder AAPC CRC - Certified Risk Adjustment Coder - AAPC RHIT - Registered Health Information Technician - AHIMA + Reviews the content of the medical record for hospital and professional inpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient severity and comply with standard provider coding regulations. + Carefully details review of documents such as laboratory findings, radiology reports, various scan reports, discharge summary, history and physical, consultations, orders, progress notes and other ancillary services treatment records needed to ensure all pertinent diagnoses and procedures are recorded. + Translates all diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes as required. + Using the Encoder software program, determines the codes for all diagnoses and procedures. + Determines their sequencing to legally maximize reimbursement. + Assigns the appropriate DRG. + Assigns codes based on hospital and professional coding guidelines, Coding Clinic directives, federal regulations, CCI coding initiatives, CPT Assistant or other standard coding guidelines. + Queries physicians as needed to clarify documentation within the patient's record to facilitate complete and accurate coding. + Understands and applies internal policy and procedure guidelines regarding how to phrase physician queries. + Assists the Coding Quality and Professional Manager with training of new coding staff related to hospital and professional coding guidelines, encoder and other software systems needed for the coding process, along with reviewing coding guidelines on an annual basis and makes recommendations for change to improve coding and data management. + Communicates to Coding Quality and Professional Manager any new diagnoses, procedures, technologies, etc. + documented within patient records to ensure that appropriate diagnosis and procedure codes are selected and incorporated into hospital and professional coding guidelines. + Updates and corrects historical file data by completing and submitting claim action reports per the PHC4 quarterly report. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. *Relevant experience may be a combination of related work experience and/or completed specialty training program (1 year of specialty training = 1 year relevant experience). Position Details Education High School Diploma or Equivalent (GED)- (Required) Experience Minimum of 6 years-Relevant experience* (Required) Certification(s) and License(s) Registered Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC); Certified Professional Coder - American Academy of Professional Coders (AAPC) OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.

Full-time, Evenings 4pm-12am, Monday-Friday 80 hrs/2 weeks Contributes in a peer support capacity to facilitate recovery and enhance wellness by sharing his/her personal/practical experience and first-hand knowledge to the team and clients. Provides expertise about the recovery process, symptom management, and the persistence required by patients to have a satisfying life. Serves as a role model for recovery for both staff and peers and partners with peers in developing recovery tools and building support networks. Responsibilities Duties and Responsibilities Essential Functions: Draws on common experiences as a peer to provide guidance and encouragement to patients to take responsibility and actively participate in their own recovery. Assists designated peers with rehabilitation social support, advocacy, educational and vocational mentoring, and self-maintenance. Provides side-by-side support and coaching to help patients socialize, such as going with a patient to the grocery store, movies, library, etc. during program hours of operation which may require use of staff's personal vehicle. Supports patient participation in community self-help groups. Coaches or teaches basic individual living skills, such as food preparation, meal planning, laundry, bill payment and personal hygiene. Provides education about symptoms of mental illness to assist patients in understanding their mental illness and identifying relapse symptoms. Works with patients in supporting their individual choice and preference regarding medications, under the direction of the physician and nursing staff. Promotes participation in Wellness Recovery Action Plan (WRAP) and Psychiatric Advance Directives (PAD) planning among peers. Partners with peers to create, review and attain goals on the Individual Recovery Plan. Completes necessary documentation for each peer encounter (i.e. service activity, contact sheets, etc.) within 48 hours of encounter. Completes monthly log of services provided. Acquires knowledge or resources in assigned county/counites while maintaining an excellent working relationship with all providers. Acts as a liaison with other community agencies/groups, funding sources and businesses that relate to the services provided to peers. Participates in the on-call system according to WellSpan Philhaven ACT policy. Common Expectations: Attends all meetings with supervisor, staff, and clients as well as trainings and in-services. Reinforces hope and the potential for recovery to peers and others. Encourages and provides support for peers to advocate for themselves. Models coping techniques and self-help strategies. Completes yearly annual safety education modules in compliance with WellSpan Philhaven policy. Performs and participates in outcome measurement, performance improvement and customer satisfaction studies designed to measure and improve the quality of services delivered. Contributes to a safe work environment through knowledge and practice of safe behavioral management practices, fire safety, physical plant safety, safe emergency practices, and universal precautions for bodily fluids Provides after hours telephone support to enrolled peers as assigned (Pager rotated among staff on a monthly basis). Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation. Qualifications Qualifications Minimum Education: High School Diploma or GED Required Work Experience: Experience in navigating/personal knowledge and experience in the mental health system. Required 1 year General work/volunteer/credit hour experience. Preferred and Professional office work experience. Preferred Licenses: Certified Peer Specialist Upon Hire Required Driver's License Statement: Must possess a valid driver's license in the current state of residence. Driving record must meet requirements established by WellSpan Risk Management. Knowledge, Skills, and Abilities: Excellent human relations and oral/written communication skills. Knowledge of and ability in the care and support of individuals in a specific age group.

Collects, reviews, retrieves and codes data by careful review and analysis of documentation of inpatient medical records, assigning the appropriate ICD-10 codes for the purposes of compliance with regulations, statistical compilation, clinical research, clinical care analysis, provider profiling and optimal reimbursement. Duties and Responsibilities Essential Functions: * Reviews entire current electronic medical record for pertinent diagnoses and procedures. * Assigns diagnoses and procedure codes on inpatient records in accordance with established organization guidelines. * Uses ICD-10 CM and PCS coding methodologies following Official Guidelines for Coding and Reporting using encoding software. * Queries physicians to clarify documentation needed for coding purposes per established departmental policy. * Performs abstraction of clinical and demographic data as pertinent to the account requirements. * Participates in documentation improvement program using 3M software and communicating with Clinical Documentation Specialist regarding DRG assignment. * Performs other duties that may be assigned by authorized personnel or as required to meet emergency needs of the department or Hospital. Common Expectations: * Maintains job specific standards and expectations relative to productivity and quality. * Maintains established policies and procedures, objectives, quality assessment and safety standards. * Participates in educational programs and in-service meetings. * Maintains professional growth and development and professional credentials. * Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation. Qualifications Minimum Education: * High School Diploma or GED Required * Associates Degree Preferred or * Bachelors Degree Preferred Work Experience: * 3 years medical coding Required * 3 years inpatient coding Preferred Licenses: * Certified Professional Coder Upon Hire Required or * Certified Coding Associate Upon Hire Required or * Certified Coding Specialist Upon Hire Required or * Registered Health Information Technician Upon Hire Required or * Registered Health Information Administrator Upon Hire Required or * Certified Professional Coder Apprentice Upon Hire Required Knowledge, Skills, and Abilities: * Knowledge of ICD-10 * Knowledge of medical terminology, anatomy, and physiology * Basic computer skills Benefits Offered: Comprehensive health benefits Flexible spending and health savings accounts Retirement savings plan Paid time off (PTO) Short-term disability Education assistance Financial education and support, including DailyPay Wellness and Wellbeing programs Caregiver support via Wellthy Childcare referral service via Wellthy

Collects, reviews, retrieves and codes data by careful review and analysis of documentation of inpatient medical records, assigning the appropriate ICD-10 codes for the purposes of compliance with regulations, statistical compilation, clinical research, clinical care analysis, provider profiling and optimal reimbursement. **Duties and Responsibilities** **Essential Functions:** + Reviews entire current electronic medical record for pertinent diagnoses and procedures. + Assigns diagnoses and procedure codes on inpatient records in accordance with established organization guidelines. + Uses ICD-10 CM and PCS coding methodologies following Official Guidelines for Coding and Reporting using encoding software. + Queries physicians to clarify documentation needed for coding purposes per established departmental policy. + Performs abstraction of clinical and demographic data as pertinent to the account requirements. + Participates in documentation improvement program using 3M software and communicating with Clinical Documentation Specialist regarding DRG assignment. + Performs other duties that may be assigned by authorized personnel or as required to meet emergency needs of the department or Hospital. **Common Expectations:** + Maintains job specific standards and expectations relative to productivity and quality. + Maintains established policies and procedures, objectives, quality assessment and safety standards. + Participates in educational programs and in-service meetings. + Maintains professional growth and development and professional credentials. + Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation. **Qualifications** **Minimum Education:** + High School Diploma or GED Required + Associates Degree Preferred or + Bachelors Degree Preferred **Work Experience:** + 3 years medical coding Required + 3 years inpatient coding Preferred **Licenses:** + Certified Professional Coder Upon Hire Required or + Certified Coding Associate Upon Hire Required or + Certified Coding Specialist Upon Hire Required or + Registered Health Information Technician Upon Hire Required or + Registered Health Information Administrator Upon Hire Required or + Certified Professional Coder Apprentice Upon Hire Required **Knowledge, Skills, and Abilities:** + Knowledge of ICD-10 + Knowledge of medical terminology, anatomy, and physiology + Basic computer skills **Benefits Offered:** Comprehensive health benefits Flexible spending and health savings accounts Retirement savings plan Paid time off (PTO) Short-term disability Education assistance Financial education and support, including DailyPay Wellness and Wellbeing programs Caregiver support via Wellthy Childcare referral service via Wellthy **Quality of Life** Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation. Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more - within an easy drive of major East Coast cities. York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000) WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.

Collects, reviews, retrieves and codes Evaluation & Management services, Pathology, and minor procedures based on documentation in the medical record and reports for quality assessment, audit, and billing purposes. **Duties and Responsibilities** **Essential Functions:** + Performs chart audits, reviewing for accuracy and compliance. + Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10) and procedure codes (CPT) for final billing. + Researches and processes invoice corrections. + Reviews and analyzes coding/billing procedures. + Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers. + Coordinates and implements reimbursement improvement activities with staff and providers. + Adheres to WellSpan Coding Compliance Guidelines. **Common Expectations:** + Maintains job specific standards and expectations relative to productivity and quality. + Prepares and maintains appropriate documentation as required. + Maintains professional growth and development. + Attends meetings as required. + Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation. **Qualifications** **Minimum Education:** + High School Diploma or GED Required **Work Experience:** + Less than 1 year Relevant experience. Required **Licenses:** + Certified Professional Coder Apprentice Upon Hire Required or + Certified Professional Coder Upon Hire Required or + Certified Medical Coder Upon Hire Required or + Certified Coding Specialist - Physician Based Upon Hire Required or + Registered Health Information Technician Upon Hire Required **Knowledge, Skills, and Abilities:** + Knowledge of ICD-10-CM, CPT-4 coding, and HCPCS. + Basic computer skills. **Benefits Offered:** Comprehensive health benefits Flexible spending and health savings accounts Retirement savings plan Paid time off (PTO) Short-term disability Education assistance Financial education and support, including DailyPay Wellness and Wellbeing programs Caregiver support via Wellthy Childcare referral service via Wellthy **Quality of Life** Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation. Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more - within an easy drive of major East Coast cities. York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000) WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.

Collects, reviews, retrieves and codes Evaluation & Management codes, and major procedures (surgical procedures, anesthesia reports, radiology reports/procedures) and other services for Medicine/Surgical practices, based on data from medical documentation and reports for quality assessment, audit, and billing purposes. Duties and Responsibilities Essential Functions: * Performs chart audits, reviewing for accuracy and compliance. * Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10) procedure codes (CPT), and other items (HCPCS) for final billing. * Research and process invoice corrections. * Reviews and analyzes coding/billing procedures. * Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers. * Coordinates and implements reimbursement improvement activities with staff and providers. * Adheres to WellSpan Coding Compliance Guidelines Common Expectations: * Maintains job specific standards and expectations relative to productivity and quality. * Prepares and maintains appropriate documentation as required. * Maintains professional growth and development. * Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation. Qualifications Minimum Education: * High School Diploma or GED Required Work Experience: * 1 year Relevant experience. Required Licenses: * Certified Professional Coder Upon Hire Required or * Certified Coding Specialist - Physician Based Upon Hire Required or * Certified Medical Coder Upon Hire Required or * Certified Professional Coder Apprentice within 1 year Required or * Certified Outpatient Coder Upon Hire Required or * Registered Health Information Technician Upon Hire Required or * Certified Home Care Coding Specialist - Diagnosis Upon Hire Required Courses and Training: * Certified Home Care Coding Specialist-Diagnosis (CHCS-D) - Only required for VNA Home Health Services. Upon Hire Required Knowledge, Skills, and Abilities: * Knowledge of ICD-10-CM, CPT-4, and HCPCS coding. * Basic computer skills.