Penn Medicine is dedicated to its mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in medicine. This role supports a leading academic medical center through collaboration with clinical, technical, and business professionals across the organization.
Job Summary
Reviews inpatient medical records to accurately assign diagnoses, procedures, and DRGs/APR-DRGs in accordance with coding, compliance, and reimbursement guidelines. Abstracts coded data into EPIC to support timely billing and revenue cycle operations.
Key Responsibilities
- Review medical records to accurately assign and sequence diagnoses, procedures, complications, and co-morbidities while meeting established quality standards.
- Assign appropriate DRG/APR-DRG classifications and abstract coded data into EPIC for billing and reporting purposes.
- Ensure accurate discharge disposition and Present on Admission (POA) indicator assignment.
- Identify documentation deficiencies and refer cases requiring physician clarification through established query processes.
- Apply coding hold reasons as needed for incomplete documentation or pending reports.
- Prioritize workload to meet coding productivity standards and revenue cycle deadlines.
- Maintain proficiency in coding across UPHS inpatient facilities and stay current with coding regulations and guidelines.
- Complete continuing education requirements and maintain applicable professional credentials.
Minimum Requirements
- High School Diploma or GED required.
- Previous inpatient coding experience or training required.
- Bachelor's degree in Health Information Management or a related field preferred.
- CCS certification strongly preferred.
- RHIA or RHIT certification preferred.
Knowledge, Skills, and Abilities
- Strong knowledge of medical terminology, anatomy, physiology, disease processes, and inpatient clinical documentation.
- Proficiency in ICD-10-CM and ICD-10-PCS coding systems.
- Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
- Familiarity with computerized coding encoders and electronic health record systems.
Penn Medicine offers a comprehensive compensation and benefits program, including one of the region's finest prepaid tuition assistance programs. Employees also have access to programs designed to help them get healthy and stay healthy.
Location
Pennsylvania, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 week ago