Responsible for reviewing and analyzing billing processes, conducting documentation, coding, and billing audits, and ensuring compliance with applicable healthcare regulations for the Children’s Hospital of Philadelphia Practice Association (CHOPPA).
Serves as a core compliance and coding support resource across both inpatient and outpatient settings. Partners with compliance team members, physician leadership, professional billing coders, physicians, Advanced Practice Providers, residents, and fellows to audit professional coding and provider documentation for accuracy, regulatory compliance, and alignment with organizational standards.
Provides education and guidance to providers and coders through regular multidisciplinary meetings, supporting compliant documentation and coding practices across all provider types and specialties, including surgery. The role also supports coding training, documentation seminars, and ongoing updates related to coding changes and regulatory requirements.
Required
- High school diploma or GED
- At least 3 years of experience in a related field
- Strong communication and interpersonal skills
- Excellent organizational, analytical, written, and oral presentation skills
- Ability to communicate effectively with physicians, senior administrators, and office staff
- Proficiency with Microsoft Office Suite, including PowerPoint, Excel, and Access
- Internet research skills
- Ability to work with confidential materials and manage multiple tasks
- Good judgment and ability to work with limited supervision
- One of the following certifications upon hire:
- RHIA
- RHIT
- CCS
- CCS-P
- CPC
Preferred
- Bachelor's degree
- Physician billing experience
- Teaching physician guidelines experience
- Interest in or experience with surgery coding
Location
Philadelphia, Pennsylvania, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$83,700 - $106,700
Remote work allowed
Yes
Posted
1 month ago