Job description
Facility:
Work From Home - Ohio
Department:
HIM - Hospital Coding & Def Analysis (Leslie Ross
Schedule:
Full time
Hours:
40
Job Details:
Under general supervision of the Coding Manager, the Coding Analyst supports Dayton Children's goals for reimbursement through accurate and timely diagnosis and procedural coding of emergency department, specialty clinic, inpatient, observation, outpatient surgery, and outpatient ancillary. This includes the examination and interpretation of the electronic medical documentation to assign and report the appropriate diagnostic and procedural codes for the services provided for clean claim submission
Department Specific Job Details:
1. Inpatient Coding
- Manages the workflow of EPIC Inpatient HIM coding work queue in regard to the electronic medical record
- IP and IPBH encounters
- Reviews, interprets, and determines appropriate assignment of diagnosis and procedural codes based on the clinical documentation in the EPIC electronic health record using ICD-10-CM, PCS and/or CPT coding classification systems
- Collaborates with the CDI staff to ensure the accuracy of the clinical documentation resulting in the most appropriate APR-DRG and SOI/ROM are assigned
- Communicates with the other coders and/or coding manager for chart inconsistencies found
- Communicates with the analysis deficiency staff for any missing documentation
- Reviews charge coding as appropriate to determine missing/inappropriate charges
- Demonstrates knowledge of ICD-10-CM/PCS manuals and coding
- Demonstrates knowledge of CPT manual and coding
- Demonstrates knowledge and appropriate use of CPT modifiers
2. Observation Coding
- Manages the workflow of EPIC HIM Observation coding work queue in regard to the electronic medical record
- Reviews, interprets, and determines appropriate assignment of diagnosis and procedural codes based on the clinical documentation in the EPIC electronic health record using ICD-10-CM and CPT coding classification systems
- Communicates with the other coders and/or coding manager for chart inconsistencies found
- Communicates with the analysis deficiency staff for any missing documentation
- Reviews charge coding as appropriate to determine missing/inappropriate charges
- Demonstrates knowledge of ICD-10-CM/PCS manuals and coding
- Demonstrates knowledge and resolution of NCCI edits
- Demonstrates knowledge of CPT manual and coding
- Demonstrates knowledge and appropriate use of CPT modifiers
3. Outpatient Surgery Coding
- Manages the workflow of EPIC HIM Outpatient Surgery coding work queue in regard to the electronic medical record
- Reviews, interprets, and determines appropriate assignment of diagnosis and procedural codes based on the clinical documentation in the EPIC electronic health record using ICD-10-CM and CPT coding classification systems
- Communicates with the other coders and/or coding manager for chart inconsistencies found
- Communicates with the analysis deficiency staff for any missing documentation
- Reviews charge coding as appropriate to determine missing/inappropriate charges
- Demonstrates knowledge of ICD-10-CM/PCS manuals and coding
- Demonstrates knowledge and resolution of NCCI edits
- Demonstrates knowledge of CPT manual and coding
- Demonstrates knowledge and appropriate use of CPT modifiers
Education Requirements:
Associates, Bachelors
Certification/License Requirements:
[Cert] CCA: Certified Coding Associate - American Health Information Management Association, [Cert] CCS: Certified Coding Specialist - American Health Information Management Association
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