HIM Inpatient Coding Specialist III

Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Entity: Corporate Services

Department: Corporate HIM Coding

Location: Philadelphia, PA

Hours: M-F, 8 hr days, hybrid

Summary:

• Performs all coding and abstracting by reviewing medical records and selecting the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures accurately. Performs analysis of the DRG assigned to produce the highest level of reimbursement to which the facility is legally entitled according to stringent coding and compliance guidelines.

Responsibilities:

• Examines the complete medical record to accurately determine the principal & secondary diagnoses, procedures, comorbidities and complications demonstrating 96% accuracy as determined by audits.

• Sequence the diagnoses & procedures to obtain the optimal DRG or APR-DRG assignment and demonstrates 96% accuracy as determined by audits.

• Simultaneously abstracts and enters all coded information into the HDM/ClinTrac system for timely billing. This includes the correct discharge disposition verified through the CRM system (currently Canopy).

• Demonstrates a consistent level of performance; strives to maintain a steady level of productivity according to the following guidelines:

• HUP

• Average of 15 inpatient records coded daily

• PPMC

• Average of 15 inpatient records coded daily

• PAH Average of 19 inpatient med/surg charts or 22.5 OB/NB inpatient records coded daily

• Refers charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician for the needed documentation.

• Promptly and accurately assigns Coding Hold reasons to all records that cannot be completed immediately due to:

• Missing Operative Notes

• Missing Pathology Report

• Physician Query Needed

• Death Review

• Discharge Disposition

• Missing Other Reports (Card Cath, EPS, etc)

• Is willing to adjust schedule to complete workload and meet pivotal revenue cycle deadlines when requested by management. Cooperates with departmental work volumes by adjusting work schedule.

• Correctly identifies and applies Present on Admission indicators to all applicable diagnoses according to designated guidelines. Accuracy is important due to the far reaching impact on reimbursement and quality metrics.

• Consistently codes the oldest cases first and prioritizes high dollar cases over 4 days old first.

• Strives to become fluent in the inpatient coding at all of the UPHS facilities.

• Performs revenue cycle/DNFB activities as needed

• Reviews and processes provider queries

• Assigns high dollar and death charts to the coding staff

• Perform SMART reviews

• Assists the Coding Manager with other duties as assigned

• Responsible for continuing education both inside and outside the organization along with tracking Continuing Education credits to maintain professional credentials.

• Performs duties in accordance with Penn Medicine and entity values, policies, and procedures

• Other duties as assigned to support the unit, department, entity, and health system organization

Education/Experience:

• HS Diploma/GED. (Required)
• 2 + years of previous work experience coding at an inpatient academic medical center. (Required)
• Certified Coding Specialist AHIMA. (Required)
• Bachelor's degree. (Preferred)

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.