Hospital Observation and Same Day Surgery Coding Analyst

Intermountain Health

2d • $28 - $44 • Onsite

About The Position

The HIM Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes acute care medical records for completeness, accuracy, and compliance for Same Day Surgery and Observationservices at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or payer specific requirements with possible multiple surgeries, and numerous consultations Following regulatory guidelines, assigns appropriate diagnosis and procedure codes using ICD-10-CM/PCS, CPT and other coding systems Ensures that coded data accurately reflects the severity of illness, risk of mortality, and quality of care Queries physicians and other clinical staff for clarification or documentation when needed Validates DRG and APR-DRG and ambulatory assignments and reimbursement calculations Abides by the AHIMA Code of Ethics and Standards of Ethical Coding Follow coding policies and procedures and report any issues or discrepancies Perform coding audits and provides feedback and education to coders and clinical staff Participate in coding quality improvement initiatives and projects

Requirements

• Coding Certification from AHIMA or AAPC
• High School Diploma or GED required.
• Demonstrates expert level ability to understand and compliantly apply complex coding and billing requirements.
• Demonstrates strong knowledge and understanding of medical terminology, medical acronyms, pharmacology, anatomy and physiology and ICD-10-CM/PCS, DRG, and APR-DRG classification systems.
• Ability to complete and pass internal coding exam.
• Demonstrates proficiency in using coding software, electronic health records, and other health information systems.
• Demonstrates excellent communication, interpersonal, and analytical skills
• Ability to work independently and collaboratively in a fast-paced environment

Nice To Haves

• Associate degree or higher in health information management, health informatics, or related field preferred. Degree must be obtained through an accredited institution. Education is verified.
• Demonstrated acute care facility coding experience which includes both ICD-10-CM & PCS coding with multidisciplinary service lines.
• Experience with EPIC EHR and 3M 360 CAC (Computer Assisted Coding), using 3M automation tools.

Responsibilities

• Reviews and analyzes acute care medical records for completeness, accuracy, and compliance for Same Day Surgery and Observationservices at Intermountain Health.
• Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or payer specific requirements with possible multiple surgeries, and numerous consultations
• Following regulatory guidelines, assigns appropriate diagnosis and procedure codes using ICD-10-CM/PCS, CPT and other coding systems
• Ensures that coded data accurately reflects the severity of illness, risk of mortality, and quality of care
• Queries physicians and other clinical staff for clarification or documentation when needed
• Validates DRG and APR-DRG and ambulatory assignments and reimbursement calculations
• Abides by the AHIMA Code of Ethics and Standards of Ethical Coding
• Follow coding policies and procedures and report any issues or discrepancies
• Perform coding audits and provides feedback and education to coders and clinical staff
• Participate in coding quality improvement initiatives and projects

Benefits

• We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
• Learn more about our comprehensive benefits package here.
• Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment.
• Learn more.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED