St. Luke's is proud of the skills, experience and compassion of
its employees. The employees of St. Luke's are our most valuable
asset! Individually and together, our employees are dedicated to
satisfying the mission of our organization which is an unwavering
commitment to excellence as we care for the sick and injured;
educate physicians, nurses and other health care providers; and
improve access to care in the communities we serve, regardless of a
patient's ability to pay for health care.
Under the direction of the Coding Manager, the ProFee Coder is
responsible for the assignment of codes to the professional fee
services in the hospital setting according to ICD10, CPT and HCPCS
basic coding rules and principles to support and play a key role in
the revenue cycle process for SLPG.
Abstract and assigns the appropriate ICD10, HCPCS/CPT codes for
all diagnosis and procedure professional fee services performed in
outpatient and inpatient settings while following CMS guidelines.
Utilizes 3M encoder for validation of RVUs and CPT procedure
Responsible for maintaining up-to-date knowledge of coding
guidelines as they relate to physician services for hospital
inpatient, observation, consultant, surgical, critical care, and E
& M services.
Maintains an average 2 day lag in assigned coding charge review
Maintains a 95% coding accuracy rate as measured through quality
Meet production standard expectations as set by the
Resolve medical record documentation deficiencies through
healthcare provider query, and provide routine feedback to
healthcare providers to correct deficiencies.
Assists in educating providers on clinical documentation
requirements to support their coding and ensure all coding (charge)
possibilities are being captured. Timely notification to education
team to review documentation trends impacting revenue.
Exercises good judgement in escalating identified coding trends
that may negatively impact productivity, quality or revenue to
mitigate claim denials. Maximize opportunities to enhance front
end, coding-related claim edits to facilitate first pass
Utilize coding resources along with any other applicable
reference material available to ensure accuracy in coding for all
of the assigned services.
Maintains confidentiality of all materials handled within the
Network/Entity as well as the proper release of information.
- Complies with Network and departmental policies regarding
issues of employee, patient and environmental safety and follows
appropriate reporting requirements.
Responsible for monthly accountability report
Assists in training of new personnel.
- Other related duties as assigned.
PHYSICAL AND SENSORY REQUIREMENTS: Sitting for up to seven hours
per day, three- four at a time. Frequently uses fingers for typing,
data entry, etc. Frequent use of hands. Use of upper extremities to
rarely lift up to ten pounds. Rarely stoops, bends, or reaches
above shoulder level. Hearing as it relates to normal conversation.
Seeing as it relates to general vision, near vision, peripheral
vision and visual monotony.
POTENTIAL ON-THE-JOB RISKS: None identified.
Identified Risks, None Identified and/or Fit Tested Statement
Which States That:
Employees who work in patient care areas where they may have
potential exposure to patients with suspected or proven
tuberculosis (TB) must have the ability to wear a particulate
respirator and be fit-tested in compliance with the current
recommendations from the CDC (enforced by OSHA) or must provide
physician documentation as to the inability to wear a particulate
SPECIFIC PROTECTIVE EQUIPMENT AVAILABLE:
MOST COMPLEX DUTY: Ability to code physician/patient encounters
by appropriately assigning diagnosis and procedure codes for
accurate reimbursement. Knowledge of coding guidelines and Third
Party documentation requirements. Understanding of E & M codes,
surgical/procedure codes and requirements for coding. Ability to
utilize multiple hospital programs simultaneously to complete
assignments. Also, the ability to deal with providers and office
staff in a tactful, but decisive manner.
SUPERVISION (RECEIVED BY AND/OR GIVEN TO): Reports to Manager of
Physician Coding Service. Supervision as required.
COMMUNICATIONS: Must communicate frequently with physicians/AP's
and office staff in a tactful, diplomatic, and decisive manner.
ADDITIONAL REQUIREMENTS: Adheres to the confidentiality
guidelines as outlined within the Hospital and departmental
policies. Promotes positive customer satisfaction by way of prompt
and courteous service.
Please complete your application using your full legal name and
current home address. Be sure to include employment history for the
past seven (7) years, including your present employer.
Additionally, you are encouraged to upload a current resume,
including all work history, education, and/or certifications and
licenses, if applicable. It is highly recommended that you create a
profile at the conclusion of submitting your first application.
Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity