Coding Education and Data Analyst

HealthPartners•United States,

1d•$31 - $47•Onsite

About The Position

The Coding Education and Data Analyst is a highly visible position that is responsible for partnering system wide with Clinicians and clinic operations staff to support the HealthPartners Revenue Cycle. This role is responsible for understanding revenue cycle workflow, identifying opportunities to ensure all appropriate revenue is captured, and assist in closing documentation gaps for clinical departments supported by the professional coding team. Must have an in-depth understanding of coding and compliance rules and regulations and knowledge of the Electronic Health Record (EHR). Will provide system wide support to Clinicians, clinical departments, and coders for CPT, HCPCS, ICD-10 CM coding systems and payor policy guidelines.

Requirements

Must have completed a coding education program or must be a graduate from an associate or bachelor’s degree program in health information.
Must have one of the following RHIT (registered health information technician), RHIA (registered health information administrator), or coding certificate. Coding certificates can include: CCA (certified coding associate), COC (certified outpatient coder), CCS (certified coding specialist), CPC (certified professional coder), CCS-P (certified coding specialist-physician).
Knowledge in using CPT, HCPCS, ICD-10 CM coding guidelines, rules and regulations, anatomy, physiology, basic disease processes and medical terminology
Intermediate knowledge of Microsoft Office Suite. Ability to create excel spreadsheets and pivot tables for reporting and data analysis.
Must be able to work independently, apply time management and critical thinking skills, and have strong decision-making skills.
Must be a highly skilled and experienced coder who can independently research, analyze and understand large amounts of data, identify issues that have financial impact and provide opportunities to improve coding quality.
Ability to present information in one-on-one and/or group settings and communicate information in a professional and confident manner.
Must have a thorough understanding of revenue cycle stream.

Nice To Haves

Three years coding experience
Epic experience preferred
Experience working with online coding resources and other related software programs.
Strong E & M coding experience
Ability to present and communicate information in either individual and/or group settings in a professional and confident manner.

Responsibilities

Ensures all services provided are accurately documented in the medical record and billed appropriately through one-on-one chart review with clinician and/or departments, review of coding practices, identification of revenue opportunities, proposing front end charge improvements, and providing education & feedback to coders, clinicians and clinic departments.
Independently performs root cause analysis and oversee volume and dollars for coding denials working directly with third party payors to understand policies and capture appropriate revenues.
Provides coding education (HCPCS, ICD-10 CM, DSM5, & CPT) to coders, clinicians, and clinic departments. Works with Compliance Operations to support the annual monitoring work plan. Partners with Diagnosis Accuracy Team to support risk adjustment requirements, diagnosis accuracy tools and collaborate with HealthPartners Health Plan to optimize diagnosis coding.
Performs coding quality reviews for coding staff and provides education/feedback in partnership with coding leaders. Leverage EMR technology to create revenue capture solutions or make suggestions on operational changes.
Attends coding related meetings (Ex: Coding Support Committee), and other department meetings when required and participates in creating/revising coding policies, procedures and/or education materials. Become familiar with clinic department operational processes or practices, and partner on improvement opportunities.
Performs other duties as assigned.