Coder Analyst IV

Marshall Health Network's Health Information Management department is seeking a PRN Coder Analyst IV. 

System Specific Duties And Responsibilities:

• Assign accurate diagnosis and procedure codes using ICD-10-CM/PCS, CPT, and/or HCPCS for reimbursement, compliance, and reporting purposes.
• Utilizes coding guidelines set up by government agencies dealing with the coding of health information.
• Demonstrates, promotes, and monitors for high standards of quality and productivity; focuses on quality results first.
• Maintains a standard of productivity that consistently meets or exceeds 98% of productivity.
• Maintains a standard or quality that consistently meets or exceeds 95% accuracy rate.
• Proficient to Expert level knowledge of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS code sets.
• Proficient to Expert level knowledge of MS-DRG and APR-DRG groupers and Medicare’s inpatient prospective payment system (IPPS) and outpatient prospective payment system (OPPS).
• Mentors’ new hires and/or participates in the cross-training of coding professionals as requested.
• Participates in departmental meetings. Responsible for reading meeting minutes or handouts as provided.
• Completes coding education sessions as required in addition to maintaining educational requirements for credential maintenance.
• Contributes to team efforts for the reduction of our combined DNFC.
• Uses resources (people, supplies, environmental) in a responsible cost-effective manner. Uses own time and that of others effectively.
• Demonstrates competency with all necessary computer systems and applications.
• Demonstrates understanding and sensitivity to compliance issues related to the corporate compliance plan.
• Collaborate with billing office, finance, revenue integrity, CDI, HIM supervisors/techs, case management, information technology, compliance, quality, and other departments as needed to resolve issues/opportunities that have been identified during or after the coding process.
• Must possess strong interpersonal communication skills and communicate honestly.
• Ability to analyze and interpret complex data.
• Adjusts and is flexible to meeting changing work needs and demands. Assumes other duties as necessary to support the efforts of the health system.
• Refers coding related issues or concerns to supervisor.
• Maintains a high degree of ethics, integrity, and confidentiality.
• Appreciates, celebrates, and values diversity.
• Follow the code of Ethics and the Standards of Ethical Coding developed by the American Health Information Management Association and/or the Code of Ethics by the American Academy of Professional Coders.
• Maintains a standard of productivity that consistently meets or exceeds 98% of productivity.
• Maintains a standard or quality that consistently meets or exceeds 95% accuracy rate.

Community Engagement

• Active Membership to American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC)

Qualifications

Education:

Required:  High School Diploma and Completion of a Coding Program of Study through an CAHIIM accredited program or Online or Classroom Based Independent Study Program through the AAPC. 

Preferred:  Graduate of an American Health Information Management Association (AHIMA) approved school with an Associate degree in Health Information Technology.

Certification:

Required:  Active AHIMA and/or AAPC credentials specific to hospital-based/facility inpatient coding. 

• RHIA, RHIA-eligible, RHIT and CCS or
• RHIA, RHIA-eligible, RHIT and CIC

Preferred:  RHIA, CCS or RHIA, CIC

Additional Revenue Cycle related credentials preferred.

Experience:

Required:  5+ Years of Inpatient Specific Position-Related Experience