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Professional Fee Coder

St. Luke's University Health Network

The Professional Fee Coder codes and abstracts physician services performed in the hospital setting in accordance with AHA, AMA, and CMS guidelines. This role supports data quality, maintains specialty-specific databases, and works closely with Medical Records, Finance, and Physician Billing to ensure proper information flow.

Key responsibilities include coding professional fee hospital services, validating RVUs and CPT-4 unbundling using 3M Encoder, maintaining productivity and accuracy standards, staying current on coding regulations, entering abstracted physician information into databases, and providing education to medical staff on coding and documentation compliance.

Requirements & Qualifications

Qualifications

  • RHIA, RHIT, CPC, or CCS-P certification required
  • Working knowledge of ICD-9/ICD-10, CPT, and HCPCS coding
  • Minimum 1–3 years of experience in CPT/HCPCS physician procedural coding
  • Previous experience with computerized patient records and coding systems preferred

Skills and knowledge

  • Strong understanding of physician professional fee coding
  • Familiarity with hospital inpatient, observation, consultant, surgical, critical care, and E&M services
  • Ability to maintain coding accuracy and productivity standards

Location

Pennsylvania, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

No

Posted

2 weeks ago

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