HIM - Analyst

Overview

We're seeking a Quality Coding Analyst- ER to join our team! In this role, you'll be responsible for quality auditing of System Services coding for accuracy, completeness and consistency with internal policies and procedures, official coding guidelines, and regulatory guidance. Additionally, you'll serve as a resource for coding compliance issues providing guidance and expertise in the interpretation of, and adherence to, the rules and regulations for documentation and coding.

Location: This position is open to remote/work from home with strong preference for candidates residing within the UPH geographies of Iowa, Illinois, & Wisconsin.

• Commitment to our Team

• For the third consecutive year, we're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare for our commitment to our team members.

• Culture

• At UnityPoint Health, you matter. Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.

• Benefits

• Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in.

• Diversity, Equity and Inclusion Commitment

• We're committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.

• Development

• We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.

• Community Involvement

• Be an essential part of our core purpose-to improve the health of the people and communities we serve.

Visit https://dayinthelife.unitypoint.org/ to hear more from our team members about why UnityPoint Health is a great place to work.

What are team member vaccine requirements?

As part of keeping our communities safe and healthy, all team members must be vaccinated for influenza and Tdap, provide proof of immunity to MMR and varicella, and be tested for tuberculosis. New hires must submit proof of vaccination or an approved exemption to begin work. If you have questions, please contact a recruiter or ask at any time during the interview process. UPH strongly recommends that all team members receive the updated COVID-19 vaccine, and at this time, UnityPoint Health

• Meriter requires Covid-19 vaccination or an approved exemption.

Responsibilities

What You'll Do:

• Performs ongoing internal coding quality reviews to ensure that coding is compliant and accurate for proper reimbursement.

• Evaluate accuracy and sequencing of ICD-10 CM/PCS, CPT, HCPC codes for a variety of patient types (inpatient, outpatient, ambulatory records, emergency room for proper coding, billing and reimbursement.

• Validate diagnosis and procedure codes assigned are adequately supported by documentation in the medical record.

• Reviews Coding and DRG denials in a timely manner working with HIM and CBO staff; Educates Coding and CDI staff; and writes appeal letters as appropriate following official coding guidelines.

• Serve as a resource, internally and externally, for coding compliance/billing issues providing guidance and expertise in the interpretation of, and adherence to, the rules and regulations for documentation and coding.

• Provide coder education related to new or revised coding updates and/or areas identified as problem areas.

Qualifications

What You'll Need:

Education:

Required:

• Completion of nationally recognized Coding Program (AHIMA/AAPC)
• 2-year Health Information Technology Program preferred

Experience:

Required:

• At least 4 years of progressive on-the-job experience

• ER coding experience preferred

License/Certification:

• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS), Certified Professional Coder (COC/CPC)

Knowledge/Skills:

• Knowledge regarding MS-DRG's, APC's and official coding guidelines

• Knowledge of ICD-10, CPT, and HCPCS coding principles, government regulations, protocols and third party payer requirements regarding billing and billing documentation

• Requires knowledge of federal and local healthcare laws and regulations

• Knowledge in all coding applications relevant to area performing quality auditing

• Remote: Yes;

• Area of Interest: Patient Services;

• FTE/Hours per pay period: 1.0;

• Department: Coding

• Auditing & Education;

• Shift: Monday-Friday, Flexible Hours;

• Job ID: 151068;