Medical Abstractionist – Physician Practice Position Available In Philadelphia, Pennsylvania

Medical Abstractionist

• Physician Practice Children’s Hospital of Philadelphia United States, Pennsylvania, Philadelphia Jun 21, 2025

SHIFT:

Day (United States of America) Seeking Breakthrough Makers Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career. CHOP’s Commitment to Diversity, Equity, and Inclusion CHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children. We strongly encourage candidates of all races, colors, ethnicities, religions, perspectives, sexes, backgrounds, and lived experiences to apply. A Brief Overview
This role will be responsible for reviewing medical record documentation including procedure reports and assigning appropriate CPT and ICD-10 codes. This role is also responsible for timely charge submissions and or data entry of the coded services. What you will do Systematically review and analyze patient medical records to determine all appropriate diagnosis and procedures performed, and to produce coded abstract for physician billing.
Submission of coded services for billing and or data entry of the coded services for claim submission in accordance with departmental productivity and accuracy standards.
Review of inpatient data and reconciliation of billable services including, review of system processing and appropriate escalation and timely communication of errors and omissions and clinical documentation insufficiencies.
Review and resolution of coding related edits and errors that impact claim submission.
Maintaining thorough knowledge of coding and documentation requirements outlined by

CPT, ICD-10

CMS and CHOP Compliance for all physician services performed. Education Qualifications High School Diploma / GED Required
Associate’s Degree Preferred Experience Qualifications At least one (1) year coding experience Required
At least two (2) years coding experience Preferred Skills and Abilities Advanced knowledge of specialty coding.
Advanced knowledge of ICD10, third party procedures, and requirements regarding benefit structures, insurance verification, referrals and authorizations.
Advanced knowledge of general financial counseling and the revenue cycle.
Familiarity with electronic health records (EHR).
Intermediate proficiency with office software (Microsoft Office) including word processing and spreadsheet software (Word, Excel)
Excellent verbal and written communications skills
Excellent interpersonal skills
Strong critical thinking / problem-solving skills
Strong analytical skills
Ability to maintain confidentiality and professionalism
Ability to work independently with minimal supervision
Ability to gather, analyze and make recommendations/decisions based on data
Ability to convey complex or technical information in an easy to understand manner Licenses and Certifications Certified Professional Coder (CPC)

• American Academy of Professional Coders (AAPC)
• upon hire
• Required or
  Certified Professional Coder Apprentice (CPC-A)
• American Academy of Professional Coders (AAPC)
• upon hire
• Required or
  Certified Outpatient Coder (CPC-H)
• American Academy of Professional Coders (AAPC)
• upon hire
• Required or
  Certified Coding Specialist (CCS)
• American Health Information Management Association (AHIMA)
• upon hire
• Required or
  Certified Coding Specialist-Physician-Based (CCS-P)
• American Health Information Management Association (AHIMA)
• upon hire
• Required To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community.

As a condition of employment, professionals working onsite-at any CHOP location, for any portion of time-must be vaccinated for

COVID-19.

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