Coding Specialist, per diem

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.Codes and abstracts all pertinent patient medical information according to ICD-9-CM, CPT-4 Coding, UHDDS guidelines and CMS directives. Assure data quality through quarterly reviews. Performs data entry of abstracted outpatient medical records to Hospital Information system. Works with the Health Information/Medical Records and Finance departments to assure appropriate flow of information. PLEASE NOTE: A 10-question coding skills assessment is a part of the SLUHN application process. The following materials will be needed in order to complete the assessment: INPATIENT – ICD-10-CM & PCS codebooks; OUTPATIENT – ICD-10-CM and CPT-4 codebooks. Please plan your time accordingly. JOB DUTIES AND RESPONSIBILITIES:ESSENTIAL FUNCTIONS:

Codes and abstracts diagnosis and procedure information from patient medical records according to AHA ICD-9-CM, AMA CPT-4, UHDDS and CMS guidelines and regulations. Utilizes the 3M Encoder to verify and assign ICD-9-CM and CPT-4 codes, and MS-DRG/APR-DRG assignment.

Maintains 95% data quality coding accuracy rate as measured through quarterly quality reviews.Maintains daily productivity and turnaround times as outlined in Department’s Performance Improvement plan:Inpatient

Productivity

3 charts p/hr

Coding Turnaround Time

5 days from date of discharge

Outpatient

Productivity

OP/Ambulatory Surgery 5 charts p/hr

Includes one day surgery, observations, interventional radiology

Minor Procedure 9 charts p/hr

Includes endoscopy, OB visits, pain management, cardiac cath

Emergency Room 15 charts p/hr

Clinic Visits 9 charts p/hr

Renal/Infusion 5 charts p/hr

Wound Care 6 charts p/hr

Coding Turnaround Time

Within 5 days

OP/Ambulatory Surgery, Minor Procedure, Clinic Visits, Renal, Infusion and Wound Care

Within 4 days

Emergency Room

Responsible for remaining up-to-date knowledge of AHA ICD-9-CM coding conventions, MS-DRG and APR-DRG principles and guidelines. Maintains a working knowledge of prospective payment systems as it relates directly to coding process.Maintains working knowledge of clinical documentation improvement program and functions as liaison for RN clinical documentation specialists (inpatient coding professionals only).

Demonstrates/models the Network’s core values and customer service behaviors in interactions with all customers (internal and external).

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.Demonstrates/models the Network’s Service Excellence Standards of Performance in interactions with all customers (internal and external). Demonstrates Performance Improvement in the following areas as appropriate: Clinical Care/Outcomes, Customer/Service Improvement, Operational System/Process, and Safety.Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, processes and practices.Complies with Network and departmental policies regarding attendance and dress code.OTHER FUNCTIONS:Assists in training of new personnel. Other related duties as assigned.PHYSICAL/SENSORY DEMANDS: Sitting for up to 7 hours per day, 3 hours at a time. Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information. Extended periods of vision use for reviewing computerized patient records, abstracting of patient information, approximately 7 hours per day, 3 hours at a time. Hearing as it relates to normal conversation. Occasionally may be required to use upper extremities to lift up to 10 lbs.; stoop, bend, or reach to retrieve resource materials and/or paper records in accordance with department downtime policyPOTENTIAL ON-THE-JOB RISKS: No identified risks.SPECIFIC PROTECTIVE EQUIPMENT AVAILABLE: N/AMOST COMPLEX DUTY: Ability to apply objective understanding of AHA ICD-9CM coding conventions and AMA CPT-4 guidelines. Appropriately assign diagnosis and procedure codes for accurate reimbursement. Understanding computerized Network Information and encoding software systems.SUPERVISION (Received and/or Given): Director, Network Coding ServicesCOMMUNICATIONS: Communicate frequently in a tactful, respectful and diplomatic manner with internal and external customers. Advises Director of issues requiring immediate attention.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.MINIMUM QUALIFICATIONS EDUCATION:RHIA, RHIT and/or CCS eligible or currently enrolled in a Health Information Technology or other health-care related program desired. Knowledge of anatomy and physiology, pathophysiology, and medical terminology as well as AHA ICD-9-CM and AMA CPT-4 coding conventions required. Working knowledge of ICD-10-CM/PCS preferred. Candidate will be expected to obtain their AHIMA credential within three years of hire date to retain position with St. Luke’s University Health Network.TRAINING AND EXPERIENCE:Minimum 1-3 years demonstrated inpatient and/or outpatient coding experience in acute care, teaching setting. Previous experience with computerized patient record and 3M encoding system preferredWORK SCHEDULE: Day shift but may require other hours as necessary.REVISED: 7/0,; 8/11, 2/13, 9/13

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 Employer. (http://www.slhn.org/EOE) Founded in 1872, St. Luke’s University Health Network (http://www.slhn.org/) (SLUHN) is a fully integrated, regional, non-profit network of more than 18,000 employees providing services at 14 campuses and 300+ outpatient sites. With annual net revenue of $2.7 billion, the Network’s service area includes 11 counties: Lehigh, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe, Schuylkill and Luzerne counties in Pennsylvania and Warren and Hunterdon counties in New Jersey. Dedicated to advancing medical education, St. Luke’s is the preeminent teaching hospital in central-eastern Pennsylvania. In partnership with Temple University, St. Luke’s established the Lehigh Valley’s first and only regional medical school campus. It also operates the nation’s longest continuously operating School of Nursing, established in 1884, and 38 fully accredited graduate medical educational programs with 347 residents and fellows. St. Luke’s is the only Lehigh Valley-based health care system to earn Medicare’s five-star ratings (the highest) for quality, efficiency and patient satisfaction. St. Luke’s is both a Leapfrog Group and Healthgrades Top Hospital and a Newsweek World’s Best Hospital. U.S. News & World Report ranked St. Luke’s #1 in the Lehigh Valley and #6 in the state. Three of IBM Watson Health’s 100 Top Hospitals are St. Luke’s hospitals. St. Luke’s flagship University Hospital has earned the 100 Top Major Teaching Hospital designation from IBM Watson Health nine times total and seven years in a row, including in 2021 when it was identified as THE #1 TEACHING HOSPITAL IN THE COUNTRY. In 2021, IBM Watson Health also named St. Luke’s among the 15 Top Health Systems nationally. Utilizing the Epic electronic medical record (EMR) system for both inpatient and outpatient services, the Network is a multi-year recipient of the Most Wired award recognizing the breadth of the SLUHN’s information technology applications such as telehealth, online scheduling and online pricing information. St. Luke’s is also recognized as one of the state’s lowest cost providersLearn More Here. (http://www.slhn.org/About)