HIM Coding Quality Specialist - York Hospital - (full-time) - Days

York, PA | Professional | Tracking Code: 59543

Position Summary:

General Summary:



Under the general supervision of the Supervisor-Coding, coordinates coding quality reviews, training and ongoing coder education. Reviews reports to monitor timely completion of charts and accuracy and compliance of data for the purposes of compliance with regulations, statistical compilation, clinical research, clinical care analysis, provider profiling and optimal reimbursement.


Duties and Responsibilities:

1 Conducts coding and abstracting quality reviews and provides feedback and education based on results.
2 Acts as coding expert, fielding all questions on ICD-9-CM, ICD-10 and CPT codes to coders, other Hospital departments and physician offices as needed.
3 Develops educational programs for coding staff based off of reports from compliance software system, training updates and continuing education. Develops education programs for clinical documentation nurses.
4 Develops and maintains tools for new coder training.
5 Assists the clinical coding leadership team in monitoring and preparing data for coding compliance, case mix index analysis, quality reporting and appropriate clinical documentation.
6 Makes all data quality corrections including quarterly PHC4 corrections, abstracting errors, etc..
7 Reviews bill edit and account issues reports on a regular basis to identify coding and abstracting issues affecting reimbursement.
8 Researches edits for billing by reviewing the chart for additional, appropriate codes.
9 Participates in computer program testing, Task Force meetings and Coding Roundtable.
10 Assists in the review of medical records for denials and audits and provides summary and feedback.

Required Experience

Minimum Education:


Associate's Degree



Preferred Education:


Bachelor's Degree



Minimum Experience:


5 years’ CPT and ICD-9 coding experience



Minimum Field of Expertise:


Health Information Administration


Required Cert/Registration Certified Coding Specialist (CCS); Registered Health Information Technician (RHIT)or Registered Health Information Administrator (RHIA)

Similar Opportunities

Why WellSpan Health?

WellSpan Health is an integrated health system that serves the communities of central Pennsylvania and northern Maryland. The organization comprises a multispecialty medical group of more than 1,500 physicians and advanced practice clinicians, a regional behavioral health organization, a home care organization, eight respected hospitals, more than 19,000 employees and 170 patient care locations. WellSpan is a charitable, mission-driven organization committed to exceptional care for all, lifelong wellness and healthy communities. We are committed to transforming the health of the communities we serve and to educating the next generation of clinicians, staff and leaders.

Employment Benefits

  • Sign-on incentives for new employees (click here for details)
  • Medical, dental and vision insurance
  • Life and accidental death insurance
  • Supplemental life insurance
  • Retirement savings plan
  • Paid time off (PTO)
  • PTO bridging
  • Short-term disability
  • Educational assistance
  • Forgivable loan
  • Flexible spending
  • Credit union
  • Employee recreational activities
  • Childcare
  • Complimentary medicine discounts

Diversity & Inclusion

Know, Respect, Include

WellSpan Health believes that diversity includes all the human characteristics that make each of us similar as well as different. We strive to make every person feel welcomed, respected and valued, while creating a safe and inclusive environment where we all have the individual freedom to express our uniqueness in a respectful manner.

WellSpan Health is an equal opportunity employer. Employment selection and related decisions are made without regard to sex, race, age, disability, religion, national origin, color or any other protected class. WellSpan Health does, however, have a tobacco-free/nicotine-free hiring policy.

Quality of Life

Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation.

Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more — within an easy drive of major East Coast cities.

York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000)