Medical Coding Abstract Analyst - Remote/Hybrid
About The Position
Accurately assigns, sequences, and abstracts appropriate ICD-10-CM and CPT-4 codes for inpatients, same day surgery, ambulatory surgery, endoscopy, outpatient, and emergency patient visits. Assigns the accurate Diagnostic Related Group (DRG) to discharged patients’ coded records (abstracting all into the hospital computer system). Interacts with physicians and their offices to clarify/ verify questions and to resolve coding and/or documentation issues specific to coding (Daily). Conducts internal coding studies and/ or provides resource information requested by other CRMC departments such as Administration, Billing, Finance, Quality, Care Management, and CDI. Runs reports daily for ER and SDC patients for medical necessity compliance. Interacts with the Billing Department for medical necessity issues in accordance with established guidelines and NCDs and LCDs. Collects information, such as unbilled and uncoded patient accounts, in accordance with the Health Information Management Department Performance Improvement Plan and reports this information to the Director (Monthly). Remains knowledgeable of the most current coding guidelines by attending in-services, and seminars as appropriate. Demonstrates commitment to a Culture of Patient Safety and High Reliability through use of and promotion of high reliability principles and the NJ STRONG patient safety behaviors. Engages in reducing unsafe practices and drives improvement in culture of safety through implementation of NQF and other best practices as appropriate for the discipline. Demonstrates commitment to achieving the highest level of performance for external benchmarking, (e.g. Leapfrog, payor based pay for performance, Medicare Star rating, etc.) Performs other duties as required by Director/Coordinator.
Requirements
- Minimum of three years inpatient coding experience
- Highschool diploma or equivalent
Nice To Haves
- Preferred CCS or CPC credential or RHIA or RHIT credential
Responsibilities
- Accurately assigns, sequences, and abstracts appropriate ICD-10-CM and CPT-4 codes for inpatients, same day surgery, ambulatory surgery, endoscopy, outpatient, and emergency patient visits.
- Assigns the accurate Diagnostic Related Group (DRG) to discharged patients’ coded records (abstracting all into the hospital computer system).
- Interacts with physicians and their offices to clarify/ verify questions and to resolve coding and/or documentation issues specific to coding (Daily).
- Conducts internal coding studies and/ or provides resource information requested by other CRMC departments such as Administration, Billing, Finance, Quality, Care Management, and CDI.
- Runs reports daily for ER and SDC patients for medical necessity compliance.
- Interacts with the Billing Department for medical necessity issues in accordance with established guidelines and NCDs and LCDs.
- Collects information, such as unbilled and uncoded patient accounts, in accordance with the Health Information Management Department Performance Improvement Plan and reports this information to the Director (Monthly).
- Remains knowledgeable of the most current coding guidelines by attending in-services, and seminars as appropriate.
- Demonstrates commitment to a Culture of Patient Safety and High Reliability through use of and promotion of high reliability principles and the NJ STRONG patient safety behaviors.
- Engages in reducing unsafe practices and drives improvement in culture of safety through implementation of NQF and other best practices as appropriate for the discipline.
- Demonstrates commitment to achieving the highest level of performance for external benchmarking, (e.g. Leapfrog, payor based pay for performance, Medicare Star rating, etc.)
- Performs other duties as required by Director/Coordinator.
Benefits
- competitive rates and compensation programs
- comprehensive employee benefits program, including health, dental, vision, life, disability, retirement, on-site Early Education Center (employee discount), attractive working conditions, and the chance to build and explore a career opportunity by offering professional development
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
