Provider Based Coding Analyst I

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
Performs ICD-10-CM and HCPCS/CPT-4 coding for 1-2 Tier 1 specialties.
Job Duties

• Enters a variety of data such diagnoses, procedures, E/M levels, and modifiers into the hospital information system.
• Adheres to coding principles, governmental regulations, and third party requirements in regards to coding and billing documentation.
• Reviews and resolves relevant edits to ensure accuracy and integrity of info billed to payers.
• Achieves and maintains established quality standards.
• Achieves and maintains established productivity standards.
• Provides feedback to providers; makes recommendations to improve medical record documentation.
• Meets turnaround time requirements. Monitors assigned work queues and alerts manager if lag days exceed established standard.
• Works with coding manager to ensure maximum reimbursement for properly documented services.

Minimum Qualifications

• Associate’s Degree in a healthcare related field or coding or
• Coding curriculum to include medical terminology, A&P, ICD-10-CM, and coding guidelines.
• Less than 1 year of experience in multi-specialty.
• Knowledge and understanding of medical terminology.
• Knowledge and understanding of provider based billing processes and workflows.
• Knowledge of human anatomy and physiology and disease processes.
• Skilled in collecting and analyzing complex data.
• Proficient, functional use of Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-10-CM) and HCPCS.
• CCA - Certified Coding Associate AHIMA - State of Pennsylvania within 1 Year or
• CCS - Certified Coding Specialist AHIMA - State of Pennsylvania or
• CCS-P - Certified Coding Specialist-Physician Based AHIMA - State of Pennsylvania or
• CPC - Certified Professional Coder - State of Pennsylvania or
• CPC-H-Certified Professional Coder-Hospital AAPC - State of Pennsylvania

Preferred Qualifications

• Bachelor’s Degree in healthcare related field.
• 1 year of experience in multi-specialty.
• CPC - Certified Professional Coder - State of Pennsylvania Upon Hire or
• CCS-P - Certified Coding Specialist-Physician Based AHIMA - State of Pennsylvania Upon Hire or
• RHIT - Registered Health Information Technician - State of Pennsylvania Upon Hire

Physical Demands
Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.
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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Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.

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