Overview This is a clinical coding position for an experienced coding analyst. Coding analysts analyze clinical documentation; assign appropriate diagnosis, procedure, and, in some cases, level of service codes; and abstracts the codes and other clinical data. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Coding specialists also resolve clinical documentation and charge capture discrepancies, and provide feedback to providers on the quality of their documentation and charging. Responsibilities/Job Description - Code and abstract clinical and demographic data for inpatient, outpatient, or clinic encounters using standardized coding regulations, abstracting rules, and Fairview guidelines.
- Identify and resolve clinical documentation and charge capture data discrepancies to improve quality of the clinical documentation, severity and reimbursement levels assigned, integrity of data reported.
- Educate multidisciplinary team members, including physicians, about frequently changing mandated rules, regulations and guidelines to ensure a complaint claim.
- Meet departmental quality and productivity standards.
- Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served.
- Knowledge of ICD10 and CPT and related coding/abstracting rules and guidelines.
- Knowledge of medical terminology.
- Knowledge of anatomy, physiology, and pathophysiology.
- Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned.
- Proficiency with computer systems, including electronic health record.
- Critical thinking and problem solving skills.
- Effective written and verbal communication skills.
Qualifications Required Education - Certificate program in coding, associate degree in HIM, or equivalent healthcare coding experience.
Experience - At least one year of coding experience.
License/Certification/Registration - Inpatient Coding: Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS)
- Outpatient or Professional Fee Coding: Registered Health Information Technician (RHIT) , Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist Professional (CCS-P), Certified Professional Coder - Hospital (CPC-H)
Preferred Education - Associate or bachelors degree in HIM.
Experience - Two years of coding experience.
License/Certification/Registration - Registered Health Information Administrator (RHIA 4 year degree) or Registered Health Information Technician (RHIT 2 year degree) plus additional coding credential, AAPC or other specialty coding certification.
Additional Requirements (must be obtained or completed within a period of time) : Basic knowledge of Windows-based computer software, telephone and voicemail system, laser printer, copy and fax machines. Due to differences in scope of care, practice, or service across settings, the specific experience required for this position may vary. |
