Coding Analyst

Job Description - Coding Analyst (240003HX)

Description

The Coding Analyst reports to the Manager of Coding and will demonstrate expertise in the coding and analysis of pediatric medical records. The Coding Analyst is responsible to review, analyze, and code diagnostic and procedural information for technical or professional services that determine the care and treatment provided to the patient. The primary function of this position is to perform ICD-10-CM, CPT, ICD-10-PCS (IP tech / DRG) and HCPCS coding for Medicare, Medicaid and private insurance payments. The coding function will ensure compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.

Minimum Education

High School Diploma or GED (Required) And

Associate's Degree (Preferred)

Minimum Work Experience

1 year Hospital-based coding experience required; pediatric experience preferred. (Required)

Functional Accountabilities

• Assign and sequence ICD-10-CM / CPT / HCPCS / ICD-10-PCS (IP tech / DRG) codes to diagnosis and operative procedures for documented information; assure the final diagnosis and operative procedures as stated by the physician are valid and complete; abstract all necessary information from health records to identify secondary complications and co-morbid conditions.
• Meet department accuracy and productivity standards for coding, abstracting, and record reconciliation activities.
• Abstract all necessary information and assign codes ICD-10-CM / CPT / HCPCS / ICD-10-PCS (IP tech / DRG), which most accurately describe each documented diagnosis, surgical procedure and special therapy or procedure according to established guidelines.

Billing Documentation

Verification

Organizational Accountabilities

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