St. Mary's Medical Center - Huntington, WV · 4 months ago
Coder Analyst IV
St. Mary's Medical Center is seeking a PRN Coder Analyst IV for their Health Information Management department. The role involves assigning accurate diagnosis and procedure codes for reimbursement and compliance, maintaining high standards of productivity and quality, and collaborating with various departments to resolve coding-related issues.
Hospital & Health Care
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
Qualification
Required
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
Active Membership to American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC)
Company
St. Mary's Medical Center - Huntington, WV
A member of Marshall Health Network, St. Mary's Medical Center is the largest medical facility in the Tri-state region.