This is a clinical coding position for an experienced coding analyst. Coding analysts analyze clinical documentation; assign appropriate diagnosis, procedure, and, in some cases, level of service codes; and abstracts the codes and other clinical data. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Coding specialists also resolve clinical documentation and charge capture discrepancies, and provide feedback to providers on the quality of their documentation and charging.
Code and abstract clinical and demographic data for inpatient, outpatient, or clinic encounters using standardized coding regulations, abstracting rules, and Fairview guidelines.
Identify and resolve clinical documentation and charge capture data discrepancies to improve quality of the clinical documentation, severity and reimbursement levels assigned, integrity of data reported.
Educate multidisciplinary team members, including physicians, about frequently changing mandated rules, regulations and guidelines to ensure a complaint claim.
Meet departmental quality and productivity standards.
Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served.
Knowledge of ICD10 and CPT and related coding/abstracting rules and guidelines.
Knowledge of medical terminology.
Knowledge of anatomy, physiology, and pathophysiology.
Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned.
Proficiency with computer systems, including electronic health record.
Critical thinking and problem solving skills.
Effective written and verbal communication skills.
Organization Expectations, as applicable:
Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served
Partners with patient care giver in care/decision making.
Communicates in a respectful manner.
Ensures a safe, secure environment.
Individualizes plan of care to meet patient needs.
Modifies clinical interventions based on population served.
Provides patient education based on as assessment of learning needs of patient/care giver.
Fulfills all organizational requirements
Completes all required learning relevant to the role
Complies with all relevant laws, regulation and policies
Performs other duties as assigned.
Cardiovascular & Thoracic Surgery Coder (CCVTC), Certified Professional Coder in Dermatology (CPCD), Certified Emergency Department Coder (CEDC), Certified Evaluation & Management Coder (CEMC), Certified Family Practice Coder (CFPC), Certified Gastroenterology Coder (CGIC), Certified General Surgery Coder (CGSC), Certified Hematology & Oncology Coder (CHONC), Certified Internal medicine Coder (CIMC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Certified Obstetrics Gynecology Coder (COBGC), Certified Orthopaedic Surgery Coder (COSC), Certified ENT Coder (CENTC), Certified Pediatrics Coder (CPEDC), Certified Plastic & Reconstructive Surgery Coder (CPRC), Certified Rheumatology Coder (CRHC), Certified Surgical Foot & Ankle Coder (CSFAC), Certified Urology Coder (CUC). If AAPC specialty certification, coding analyst must be certified in the specialty they support.
Additional Requirements (must be obtained or completed within a period of time):
Basic knowledge of Windows-based computer software, telephone and voicemail system, laser printer, copy and fax machines. Due to differences in scope of care, practice, or service across settings, the specific experience required for this position may vary.
Fairview Health Services