Imagine a career at one of the nation's most advanced health networks.

Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.

LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.

Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.

Summary
Maintains the coding integrity for network-wide provider-based services and conducts critical data analysis and research on complex documentation and coding issues. Assimilates data and reports results that help set direction for coding education and focused projects. Resolves claim and charge review edits for all practices and provides new or revised guidance on billing of new services.

Job DutiesServes as a resource to the organization for coding as it relates to professional fee billing and hospital outpatient departments (HOPDs). Analyzes and resolves relevant coding edits in the billing system for all physician practices and HOPDs to ensure accurate billing to all payers. Reviews and coordinates resolution of coding denials with the AR Team. Advises AR Specialist on appeal language, as necessary. Reviews issues and assists the AR Team with customer service related coding complaints from patients. Promotes confidentiality and uses discretion when handling patient information. Analyzes coding trends/issues and prepares necessary reports for educational purposes. Conducts research on new procedures or changing guidelines so that policies can be developed. Provides assessment and tracks the documentation of compliance and improvement initiatives. Identifies trends relaying to Compliance Services for provider education. Recommends coding changes to improve the data management integrity of systems. Serves as a coding resource and assists providers and office staff with coding related concerns.
Minimum QualificationsHigh School Diploma/GED or coding curriculum to include medical terminology, A&P, ICD-10, and coding guidelines. 2 years experience in CPT, ICD-10, and HCPCS coding in a physician office setting or in a hospital outpatient setting or 2 years Accounts Receivable background. Knowledge of Evaluation and Management Coding. Knowledge of medical terminology, anatomy and physiology, and pathophysiology. Knowledge of statistical methods and tools. Knowledge of CPT and ICD-10 CM coding classification systems. Skill in analyzing and organizing technical data. Problem solving ability. CPC - Certified Professional Coder - State of Pennsylvania Upon Hire or CCS-P - Certified Coding Specialist-Physician Based AHIMA - State of Pennsylvania Upon Hire
Preferred QualificationsBachelor’s Degree in a Healthcare related field. 5 years experience in CPT, ICD-10, and HCPCS coding in a physician office setting or in a hospital outpatient setting.
Physical Demands
Lift and carry 7 lbs., continuous sitting >67%, frequent keyboard use/repetitive motion, frequent fine motor activity/wrist position deviation.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

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Work Shift:

Day Shift

Address:

1200 S Cedar Crest Blvd

Primary Location:

REMOTE IN PENNSYLVANIA

Position Type:

Remote

Union:

Not Applicable

Work Schedule:

Monday-Friday 8:00a-4:30p

Department:

1004-13028 COH-HIM Provider Based Coding