Imagine a career at one of the nation's most advanced health networks.

Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.

LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.

Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.

Leads the team of coding integrity analysts. Provides documentation and coding advice related to Medicare, CMS regulations, and third-party billing requirements to the staff of LVPG. Serves as a resource to the organization for coding as it relates to professional fee billing. Oversees relevant edits in billing system to ensure accurate billing to all payers in a timely manner.

Job Duties

• Manages critical data analysis; conducts research on complex documentation and coding issues and assimilates data.
• Conducts coding data analysis on outpatient services billed by providers with the intent on billing/reimbursement outcomes.
• Maintains the coding integrity for professional fee services rendered in facility and non-facility settings.
• Tracks and trends data for recommendations of workflow and process changes.
• Orchestrates communications for streamlined processing of payor rejection trends to expedite processing of accounts receivables.
• Serves as a resource with regard to the rules and regulations for proper coding.
• Assists revenue cycle with onboarding coding processes for new practices or major coding changes within an existing practice.
• Analyzes coding trends/issues and communicates with appropriate staff for educational purposes.

• High School Diploma/GED or
• coding curriculum to include medical terminology, A&P, ICD-10, and coding guidelines.
• 3 years experience in professional fee coding/auditing in a multi-specialty environment.
• Knowledge of medical terminology, anatomy, physiology, and pathophysiology.
• Knowledge of CPT & ICD-9/ICD-10 CM coding classification systems, regulatory agency requirements, health care statistics computation, and accounting principles.
• Ability to multitask, identify areas of opportunity, and articulate and facilitate changes.
• Ability to prioritize tasks to expedite AR processing.
• Builds strong relationships with co-workers to partner for a better outcome.
• Knowledge of practice management system, EMR, and MS office applications (Word/Excel/Access).
• CCS-P - Certified Coding Specialist-Physician Based AHIMA - State of Pennsylvania Upon Hire or
• CPC - Certified Professional Coder - State of Pennsylvania Upon Hire

• Bachelor’s Degree in healthcare related field.
• 5 years experience in professional fee coding/auditing in a multi-specialty environment and
• 3 years of Accounts Receivable background.

Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

https://youtu.be/GD67a9hIXUY

Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.