Coding Reimbursement Analyst

Job Summary

Under general supervision, codes and abstracts clinical information from the electronic patient record. Assigns appropriate ICD-10-CM and ICD-10-PCS codes as appropriate.

Performance: Position Specific Essential Functions

• Identifies principal diagnoses and procedures on all patient records; codes all appropriate diagnoses and procedures using ICD-10-CM and ICD-10-PCS coding classification/guidelines.
• Researches medical information and assigns DRGs on inpatient records
• Monitors accounts not selected for billing via appropriate software programs.
• Maintains productivity and accuracy standards as determined by supervisor.
• Adjusts/corrects the admission/discharge dates, times, patient source, disposition, patient type, medical service, admission category, re-admits, admitting physician, attending physician, surgeon, pathologist, radiologists, anesthetists, consultants, newborn information, tissue type, anesthesia type and assigns data elements as required for additional fields in the network abstraction on an as needed basis.
• Acts as a liaison with the business office and registration personnel to address corrections, deletions, charges and billing issues to facilitate the coding and billing process. Performs other duties as needed to ensure optimal customer satisfaction.
• Maintains the Re-review Work Queue for quality purposes. (Specific to inpatient coders).
• Clarifies documentation issues with the use of Physician Queries.
• Performs as a coding team member and assists others as time permits. Works cooperatively in a group setting as appropriate to the job; cooperates with fellow employees and others with whom he/she has contact as part of the job functions; treats others with courtesy and respect.
• Maintains health system resources (whether in-house or at home) in an efficient manner.
• Performs other duties as assigned.

Qualifications

Education

• Required
  • High School Diploma, GED, or equivalent

Experience:

• Required
  • Three to five years of experience in Inpatient Coding

Certification/Licensure:

• Required
  • Certified Coding Associate (CCA)*
    • Must be obtained before hire date
    
    

• • Certified Coding Specialist (CCS)*
    • Must be obtained before hire date
  • Registered Health Information Technologist (RHIT)*
    • Must be obtained before hire date
  • Registered Health Information Administrator (RHIA)*
    • Must be obtained before hire date
  • Or applicable coding certification as reviewed and approved by Leadership*

• Only one of these certifications must be obtained before hire date

Location: Shannon Health · HEALTH INFORMATION MANAGEMENT
Schedule: PRN