Description
Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.
Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?
Entity: Clinical Care Associates
Department: Administration and Operations
Location: Penn Medicine Bala Cynwyd- 2 Bala Plaza
Hours: Full Time
Summary:
This position provides education for coding and billing practices by obtaining, interpreting, analyzing and communicating information regarding physician reimbursement legislation and third-party regulations on an on-going basis.
Responsibilities:
- Responsible for obtaining, interpreting, analyzing and communicating information regarding physician reimbursement legislation and third party regulations on an on-going basis.
- Reviews medical records for regulatory compliance with the major third parties.
- Works with Penn Medicine Medical Group (PMMG) Leadership to optimize processes related to coding, access to care, revenue cycle, and operations.
- Develop and/or revise Divisional forms to ensure complete and accurate billing.
- Provide Divisional support for coding and billing practices.
- Responsible for providing the liaison function to all third party payers, Entity Administration and the Department/Division personnel relative to reimbursement issues.
- Reports to and works with the Director, Ambulatory Access Optimization to identify methods and develop implementation plans for maximizing revenue and reimbursement.
- Performs duties in accordance with Penn Medicine and entity values, policies, and procedures
- Other duties as assigned to support the unit, department, entity, and health system organization
Credentials:
- Certified Professional Coder (Required)
- Certified Professional Coder (CPC) status or equivalent (eg, RHIA) credential required.
Education or Equivalent Experience:
- Bachelor of Arts or Science (Required)
- 2+ years Clinical or related experience ( Required)
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.
Live Your Life's Work
We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.