General Summary

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 records 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-4), and other services (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. Meets 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:

3 years 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 Outpatient Coder Upon Hire Required or Registered Health Information Technician Upon Hire Required and Certified Anesthesia and Pain Management Coder within 2 years Required or Certified Cardiology Coder within 2 years Required or Certified ENT Coder within 2 years Required or Certified Hematology and Oncology Coder within 2 years Required or Certified Interventional Radiology Cardiovascular Coder within 2 years Required or Certified Pediatric Coder within 2 years Required or Certified Rheumatology Coder within 2 years Required or Certified Urology Coder within 2 years Required or Radiology Certified Coder within 2 years Required or Certified Cardiovascular and Thoracic Surgery Coder within 2 years Required or Certified Gastroenterology Coder within 2 years Required or Certified General Surgery Coder within 2 years Required or Certified Professional Coder Dermatology within 2 years Required or Certified Obstetrics Gynecology Coder within 2 years Required or Certified Ophthalmology Coder within 2 years Required or Certified Orthopedic Surgery Coder within 2 years Required

Knowledge, Skills, and Abilities:

Knowledge of ICD-10-CM, CPT-4, and HCPCS coding. 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

You’re unique and you belong here.

At WellSpan Health, we are committed to treating all applicants fairly, regardless of their job classification. If you require assistance or accommodation due to a disability, please reach out to us via email at . We will evaluate requests for accommodation on a case-by-case basis. Please note that we will only respond to inquiries related to reasonable accommodation from this email address. Rest assured, all requests for assistance or accommodation are handled confidentially, allowing applicants to share their needs openly and honestly with us.