What are the responsibilities and job description for the Coder Analyst IV position at Cabell Huntington Hospital/St. Mary?
Marshall Health Network's Health Information Management department is seeking a PRN Coder Analyst IV.
System Specific Duties and 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.
Community Engagement
- Active Membership to American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC)
Qualifications:
Education:
Required: High School Diploma and Completion of a Coding Program of Study through an CAHIIM accredited program or Online or Classroom Based Independent Study Program through the AAPC.
Preferred: Graduate of an American Health Information Management Association (AHIMA) approved school with an Associate degree in Health Information Technology.
Certification:
Required: Active AHIMA and/or AAPC credentials specific to hospital-based/facility inpatient coding.
- RHIA, RHIA-eligible, RHIT and CCS or
- RHIA, RHIA-eligible, RHIT and CIC
Preferred: RHIA, CCS or RHIA, CIC
Additional Revenue Cycle related credentials preferred.
Experience:
Required: 5 Years of Inpatient Specific Position-Related Experience