St. Luke's Hospital
Location
Allentown, PA | United States
Job description
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:
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).
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 policy..
POTENTIAL ON-THE-JOB RISKS: No identified risks.
SPECIFIC PROTECTIVE EQUIPMENT AVAILABLE: N/A
MOST 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 Services
COMMUNICATIONS: 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 preferred
WORK SCHEDULE:
Day shift but may require other hours as necessary.
REVISED: 7/0,; 8/11, 2/13, 9/13
St. Luke's University Health Network is an Equal Opportunity Employer. (
Founded in 1872, St. Luke’s University Health Network ( (SLUHN) is a fully integrated, regional, non-profit network of more than 20,000 employees providing services at 15 campuses and 300+ outpatient sites. With annual net revenue of $3.5 billion, the Network’s service area includes 11 counties in two states: Lehigh, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe, Schuylkill and Luzerne counties in Pennsylvania and Warren and Hunterdon counties in New Jersey. St. Luke’s hospitals operate the largest network of trauma centers in Pennsylvania, with the Bethlehem Campus being home to St. Luke’s Children’s Hospital.
SLUHN is the only Lehigh Valley-based health care system to earn Medicare’s five-star ratings (the highest) for quality, efficiency and patient satisfaction. It is both a Leapfrog Group and Healthgrades Top Hospital and a Newsweek World’s Best Hospital. The Network’s flagship University Hospital has earned the 100 Top Major Teaching Hospital designation from Fortune/Merative 11 times total and eight years in a row, including in 2023 when it was identified as THE #4 TEACHING HOSPITAL IN THE COUNTRY. In 2021, St. Luke’s was identified as one of the 15 Top Health Systems nationally.
SLUHN has been named a Top Workplaces 2023 by the Morning Call. In addition, St. Luke’s has been named a Top Workplace nationally, in the Philadelphia region, and in New Jersey. St. Luke’s is the ONLY healthcare institution in Pennsylvania and the third-highest ranked healthcare entity in the nation to be deemed a Top Workplace in 2023. In 2023, St. Luke’s was named one of America’s Best Employers for Women by Forbes. St. Luke’s was the only employer in the Lehigh Valley to be named to the list and was one of only two healthcare employers in Pennsylvania to receive the designation. St. Luke’s University Health Network is the top-ranked Lehigh Valley-based employer in Forbes Magazine’s ranking of employers in Pennsylvania.
Learn More Here. (
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