Coding Analyst

Stillwater Medical Center Stillwater , OK 74075

Posted 2 weeks ago

The Coding Analyst or Auditor plays an important role in successful reimbursement for Stillwater Medical.# # Key attributes for success as an auditor: Ability to clearly and effectively communicate Great organizational skills Exceptional attention to detail with excellent time management Critical thinker Why choose Stillwater Medical? Competitive pay and excellent benefits Modern Healthcare#s Best Places to Work - since 2012 A Newsweek#s World#s Best Hospital Details: Weekdays Office hours Ability to work remotely once fully trained See below for qualifications JOB SUMMARY: The Coding Analyst conducts risk-based coding quality audits, random quality audits, and quarterly audits of Hospital or Clinic encounters to validate coding assignment follows the official coding guidelines as supported by clinical documentation in the health record. The Coding Analyst validates documented data elements that are integral to appropriate E#M methodology; DRG assignment; selection of principal diagnosis/reason for visit as well as principal procedures. The Coding Analyst identifies opportunities to enhance revenue through improved documentation and coding and fosters a collaborative team environment.


QUALIFICATIONS:


Associate degree required, bachelor#s degree preferred in Health Care or Finance. Completion of a post-secondary Billing or Coding Program or Coursework, or the equivalent combination of experience, education, and training is required.

Must have at least one of the following certifications: CCS, CPC-H, and/or CCS-P, CPC. CPMA or CICA preferred with requirement to obtain within 6 months of employment.

Facility: Minimum five (5) years hospital coding experience preferred. Three (3) years required. Professional:## Minimum of three (3) years physician-based coding experience, including E#M and surgical coding experience preferred.

One (1) year required.

Minimum of three (3) years auditing preferred. Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing, with demonstrated ability to interpret such guidelines.

Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in ICD-10-CM and PCS, HCC CPT, and HCPCS coding guidelines. Ability to use multiple EMR#s to reconcile documentation with billing and reimbursement. Demonstrates understanding of complexities of office workflow and billing requirements.

Detail oriented and ability to work independently. Strong written and verbal communication and organizational skills. Proficient in Excel, Word, and health care billing software knowledge.

Demonstrates commitment to continuous learning keeping current with official coding guidelines, annual and quarterly updates, OIG targets, and emerging trends in the reimbursement landscape. PHYSICAL REQUIREMENTS: Work is sedentary in nature, with some standing and walking.

Must have adequate perception of sounds or adequate hearing with corrections. Must be able to talk and hear to converse with others, in person, and over the telephone. Adequate vision, or correctable with glasses/contacts, to prepare, process, and read written materials.

Possess fine motor skills and hand/eye coordination to operate equipment. On site position initially with transition to remote/home office upon conclusion of training.


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