Certified Coder / Analyst

Description

Must Reside in AL, AZ, CO, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, VA

Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care, and two urgent care offices. Non-acute care is offered through various affiliates, including the Thompson House for rehabilitation and skilled nursing services, and the Home Care organizations.

Summary :

Appropriately analyzes and codes complex inpatient records for facility. Position requires high-level expertise in coding and documentation guidelines, coding clinics, and knowledge of MS DRGs, CC / MCC for appropriate reimbursement and compliance.

Responsibilities :

• Perform ICD-10- CM / PCS to maintain an accurate database and ensure accurate coding at minimum accuracy rate of 95%
• Apply knowledge of MS DRG and APR DRG assignment, Official Coding guidelines, Comorbidity / complication coding, HAC Conditions, accurate POA assignment and current AHA coding clinic guidelines
• Effectively and professionally communicate with Physicians to clarify the diagnoses for accurate DRGs and severity of illness
• Ability to code using either 3M 360 encoder or ICD-10-CM / ICD10 PCS codebook.
• Mentor and train junior coders
• Perform audits as assigned by coding manager
• Demonstrates advanced knowledge of the impact of coding decisions on revenue cycle, including the ability to assist in appealing payer denials.
• Responds to all business office questions regarding diagnoses and procedures in a timely manner.
• Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations.
• Maintains certified coding credentials in accordance with the certified coding requirements and demonstrates annual compliance.
• Fulfills all compliance responsibilities related to the position.

Requirements :

Must Have Experience in the Following Specialties -

Work Type : Full-Time

Standard Hours : 40.00

Work Shift : Monday through Friday

Department : Health Information Management

Exempt : No

Grade : U4

Salary Range : $30.34 / hr Flat Rate per CBA

EOE, including disability / vets.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.