Provider Based Coding Analyst I

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🔥 0 minutes ago

🔔 Pennsylvania – Remote

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⏱ Part Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

🦅 H1B Visa Sponsor

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Logo of Lehigh Valley Health Network

Lehigh Valley Health Network

10,000+ employees

⚕️ Healthcare Insurance

Healthcare Insurance

Lehigh Valley Health Network is a comprehensive healthcare system that is now part of Jefferson Health, one of the top 15 not-for-profit health systems in the United States. It offers a wide range of medical services, including primary care, urgent care, and specialized institutes like the Lehigh Valley Topper Cancer Institute and the Lehigh Valley Heart and Vascular Institute. LVHN provides extensive care solutions, including video visits, second opinions, and a network of doctors and clinicians in numerous locations. It emphasizes education through residencies and fellowships and prioritizes patient-centric services such as lab testing and women's health care. The network also focuses on innovation, offering clinical trials and advanced therapies like CAR-T Cell Therapy.

📋 Description

• Performs ICD-10-CM and HCPCS/CPT-4 coding for 1-2 Tier 1 specialties • Enters a variety of data such diagnoses, procedures, E/M levels, and modifiers into the hospital information system • Adheres to coding principles, governmental regulations, and third party requirements in regards to coding and billing documentation • Reviews and resolves relevant edits to ensure accuracy and integrity of info billed to payers • Achieves and maintains established quality standards • Achieves and maintains established productivity standards • Provides feedback to providers; makes recommendations to improve medical record documentation • Meets turnaround time requirements • Monitors assigned work queues and alerts manager if lag days exceed established standard • Works with coding manager to ensure maximum reimbursement for properly documented services

🎯 Requirements

• Associate’s Degree in a healthcare related field or coding curriculum • Less than 1 year of experience in multi-specialty • Knowledge and understanding of medical terminology • Knowledge and understanding of provider based billing processes and workflows • Knowledge of human anatomy and physiology and disease processes • Skilled in collecting and analyzing complex data • Proficient, functional use of Current Procedural Terminology (CPT) and ICD-10-CM and HCPCS • CCA - Certified Coding Associate AHIMA - State of Pennsylvania within 1 Year or CCS - Certified Coding Specialist AHIMA - State of Pennsylvania or CCS-P - Certified Coding Specialist-Physician Based AHIMA - State of Pennsylvania or CPC - Certified Professional Coder - State of Pennsylvania or CPC-H-Certified Professional Coder-Hospital AAPC - State of Pennsylvania

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development

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