Coder- Cardiology and Orthopedics
Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia.
About the role
The Coder provides coding services and support to assigned IPM Markets/Billing Entities, utilizing clinical documentation in multiple electronic health record (EHR) systems. Applies working knowledge of medical terminology, anatomy, CPT-4 and ICD-10 codes, and coding skills/experience to ensure timely and accurate coding of clinical documentation. Meets or exceeds established performance targets (productivity and quality) set by the Coding Manager. Works closely with the Billing Department to ensure accuracy in charge posting to the Practice Management System (PMS).
Successful candidate must live in one of these locations: Pennsylvania, Florida, New Jersey, Delaware, Texas, or Nevada.
Responsibilities
- Provides accurate and timely coding services and support to assigned IPM Markets, utilizing clinical documentation in multiple electronic health record (EHR) systems.
- Meets or exceeds established performance targets (productivity and quality) set by the Manager, Coding Integrity, and Audits.
- Performs effective reconciliation to ensure all charges are captured and works closely with the Charge Capture and Insurance Billing Operations Department to ensure accuracy in charge posting to the Practice Management System (PMS).
- Communicates timely with providers and market staff to ensure medical record documentation is completed and signed to avoid coding delays, minimize lag days, and meet team goals/objectives.
- Assists in educating providers on clinical documentation requirements to support their coding and ensure all coding (charge) possibilities are captured.
- Notifies appropriate CBO individuals to review coding for new procedures and initiate PMS set-up (including fees).
- Maintains an expanded knowledge base of CPT-4 and ICD-10 codes, government, managed care, and third-party billing guidelines, AMA, AAP, CMS, and coding policies.
- Meets continued education guidelines to maintain current AAPC CPC certification.
- Exercises good judgment in escalating identified coding trends that may negatively impact productivity, quality, or revenue to mitigate claim denials and expedite reprocessing of claims.
- Maximizes opportunities to enhance front-end, coding-related claim edits to facilitate first-pass resolution.
- Participates in regularly scheduled team meetings, offering new paths, procedures, and approaches to maximize opportunities for performance and process improvement.
Requirements
- High School Graduate/GED required; Technical School, 2 Years College, or Associate Degree preferred.
- 3-5 years minimum experience working in a healthcare (professional) billing, health insurance, coding, or equivalent operations work environment.
- Must have cardiology and orthopedics coding experience.
- PCP or primary care provider experience required.
- Internal medicine experience required.
- Denial management experience required.
- AAPC CPC Certification required.
- Understanding of the revenue cycle and how its components work together preferred.
- Excellent organization skills, attention to detail, research, and problem-solving ability.
- Results-oriented with a proven track record of accomplishing tasks within a high-performing team environment.
- Service-oriented and customer-centric.
- Strong computer literacy skills, including proficiency in Microsoft Office.
- Billing software (e.g., Cerner, Epic, IDX) experience highly desirable.
Benefits
- Competitive compensation and generous paid time off.
- Excellent medical, dental, vision, and prescription drug plans.
- 401(K) with company match.