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Provider Based Coding Analyst I
Lehigh Valley Health NetworkPerforming ICD-10-CM and HCPCS/CPT-4 coding for healthcare providers. Entering medical data and ensuring coding integrity while adhering to standards.
ATS Keywords
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Hard Skills
ICD-10-CM codingHCPCS codingCPT-4 codingmedical terminologyprovider based billing processeshuman anatomyphysiologydata analysisCurrent Procedural Terminology (CPT)coding principles
Soft Skills
attention to detailcommunicationfeedback provisionrecommendation makingtime managementproblem solvingorganizational skillscollaborationadaptabilityquality assurance
Tools & Technologies
hospital information system
Certifications & Qualifications
Certified Coding Associate (CCA)Certified Coding Specialist (CCS)Certified Coding Specialist-Physician Based (CCS-P)Certified Professional Coder (CPC)Certified Professional Coder-Hospital (CPC-H)
Industry Keywords
Tier 1 specialtiescoding and billing documentationthird party requirementsmedical record documentationturnaround time requirementswork queuesreimbursementquality standardsproductivity standardsmulti-specialty
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development