Recognized for Excellence. Chosen for Caring.
Human Resources: 700 Lawn Avenue, Sellersville, PA 18960  |  215-453-4874
Coding Quality Specialist, HIM
Full Time, 8am-4:30pm, Monday-Friday
Sellersville, PA 18960

For more than one hundred years, residents of Bucks and Montgomery counties have trusted Grand View Health with the well-being of their families, and we have been honored to serve our community.

We are an award-winning institution offering advanced medicine in multiple specialties, and our two Urgent Care Centers and six specialized outpatient centers augment our 168 licensed beds at our main campus and help bring convenient healthcare solutions to all the communities we serve.

Grand View Health is a member of the Penn Cancer Network, an affiliate of Penn Medicine Orthopaedic Surgery, and an affiliate of the Penn Trauma Network, partnered with Penn Medicine to provide advanced neurological services, including tele-stroke and tele-neurology care.

Responsibilities

The Coding Quality Specialist ensures completion of all coding and abstracting functions while maintaining accurate coding of all diagnoses and procedures in the medical record. The Coding Quality Specialist also abstracts relevant information from the medical record. The Coding Quality Specialist ensures coding compliance with all federal, state and regulatory agencies for coding accuracy and integrity.

This is a full-time position and the hours are Monday–Friday, 8am-4:30pm with an occasional weekend rotation.

Job duties include:
  • Assisting in the coordination of work assignments of coding and abstracting technicians to ensure completion, accuracy and integrity of medical records.
  • Providing direction to coding staff in the absence of the Coding Manager to promote quality of coding and efficiency of the department.
  • Participating in quality monitoring activities, along with the Coding Manager, for the coding area on a monthly basis to evaluate and correct coding and DRG assignment to ensure adequate patient database and hospital reimbursement.
  • Retrieving information from the MEDITECH system in response to requests for coding related reports as they are received.
  • Collecting data as requested from the coding software to evaluate Coding and Reimbursement activity, and submitting data to the Coding Manager and HIM Director for trend comparison reports, as well as for staffing and budget planning.
  • Assisting with training of new coders and HIM staff as necessary to meet goals and objectives set by the department.
  • Exercising leadership that is consistent with the leadership philosophy of Grand View Hospital.
  • Reviewing medical records to apply codes for diagnoses, operative and diagnostic procedures according to the current edition of the International Classification of Diseases and Operations and in the HCPCS CPT-4 Coding System in order to ensure information for billing and data collection purposes is accurate, utilizing the hospital's coding software.
  • Abstracting relevant information from each medical record using UHDDS definitions for input into MEDITECH computer system to provide data for the processing of reports.
  • Reviewing incomplete record files for the completion of diagnostic information by the physician and the application of codes by the coding technician.
     
Schedule:
Monday-Friday, 8:00am-4:30pm
 

Qualifications

EDUCATION AND EXPERIENCE:
  • Associate's degree/Health Information Management degree required.
  • Over 3-5 years of experience in coding, abstracting and gathering statistical data in a healthcare setting preferred.

LICENSES AND CERTIFICATIONS:
  • Certified Registered Health Information Technician preferred upon hire.
Grand View Health is an equal opportunity employer.
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