Coding Compliance Specialist jobs in Philadelphia, PA

• Performs Inpatient or Outpatient coding audits using ICD10CM, ICD10PCS, MSDRG and/or CPT, HCPCS, APC utilizing Official Coding Guidelines, regulatory guidelines and UHS guidelines. Utilizes appropriate systems for auditing.
• Compiles and presents results of audits for educational purposes and for statistical purposes. Provides education as assigned.
• Reviews discrepancies and disagreements with pertinent parties; Consults manager for any continued disputes.
• Keeps abreast of all Official Coding Guidelines, Official Coding Clinics, and Regulatory updates, amendments, deletions to assure accurate auditing. Have a thorough understanding of the location of regulatory requirements for federal and state.
• Maintains credentials; attends workshops to maintain and expand knowledge.

• 
  High School Diploma required; Technical School/2 Years College preferred.
• Extensive knowledge of ICD10CM, ICD10PCS. MSDRG and preferably APRDRG’s and/or Extensive knowledge of CPT, HCPCS, APC and preferably EAPG’s.
• Minimum of 1 to 3 years Auditing experience of Facility Acute Care Inpatient and/or Outpatient coding required. Or minimum of 3 – 5 years coding Facility Inpatient and/or Facility Outpatient.
• Demonstrates ability to review assignment of diagnoses and procedures, MSDRG and/or APC
• Ability to read medical reports, interpret lab values pertinent to coding.
• Thorough knowledge Inpatient Prospective Payment System (IPPS), MSDRG and regulatory requirements and/or Outpatient Prospective Payment System (OPPS).
• Broad knowledge of pharmacology and applicability to coding.
• Extensive knowledge of anatomy, physiology, and medical terminology.
• Understanding of Official Coding Guidelines and any UHS specific guidelines

Skills:

• Excellent written and Verbal communication skills required
• Experience with computers, mainframe applications and encoder systems
• Excellent customer services skills required
• Ability to recognize, analyze and resolve issues
• Familiar with MS applications, Word, Excel, PowerPoint

• 
  RHIA, RHIT, CCS, COC, CIC, CPC

• Challenging and rewarding work environment
• Growth and development opportunities within UHS and its subsidiaries
• Competitive Compensation
• Excellent Medical, Dental, Vision and Prescription Drug Plan
• 401k plan with company match
• Generous Paid Time Off

• 
  UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.